NPIMap

Organization Active NPI

Integra Health Management

  • Case Management Agency
  • Owings Mills, MD
National Provider Identifier
1740400589
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
R1159 Issued in MD
Legal business name
INTEGRA HEALTH MANAGEMENT
Practice address
10711 Red Run Blvd
Suite 112
Owings Mills, MD 21117-5138
Phone
(410) 581-3030
Fax
(410) 581-2018
NPI assigned
Apr 26, 2007
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Ms. Bobbi Carol Gittere
Title
Director of Operations
Phone
(410) 581-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X R1159 MD Primary

Addresses

Primary practice location

10711 Red Run Blvd
Suite 112
Owings Mills, MD 21117-5138

Mailing address

10711 Red Run Blvd
Suite 112
Owings Mills, MD 21117-5138
Phone (410) 581-3030

Other names 1

  • SC Care Management Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Integra Health Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1740400589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10711 RED RUN BLVD",
            "address_2": "SUITE 112",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175138",
            "telephone_number": "410-581-3030",
            "fax_number": "410-581-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10711 RED RUN BLVD",
            "address_2": "SUITE 112",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175138",
            "telephone_number": "410-581-3030",
            "fax_number": "410-581-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA HEALTH MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "GITTERE",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "410-581-3030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MD",
            "license": "R1159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SC Care Management",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.