NPIMap

Organization Active NPI

Renew Path Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1740042506
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RENEW PATH RECOVERY LLC
Practice address
2129 McCulloh St
Baltimore, MD 21217-3530
Phone
(102) 616-3704
NPI assigned
Jan 26, 2024
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dana Jones
Title
Ceo
Phone
(310) 926-6318

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2129 McCulloh St
Baltimore, MD 21217-3530

Mailing address

2129 McCulloh St
Baltimore, MD 21217-3530
Phone (410) 261-6370

National Provider Directory

National Provider Directory
Tax ID family
Renew Path Recovery LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1740042506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 MCCULLOH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173530",
            "telephone_number": "410-261-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 MCCULLOH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173530",
            "telephone_number": "102-616-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PATH RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-926-6318"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.