Organization Active NPI

Reach LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1740829050
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
REACH LLC
Practice address
1 N Charles St Ste 222
Baltimore, MD 21201-3710
Phone
(410) 449-1199
Fax
(443) 769-1567
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Mr. Ivan A Forney
Title
Ceo
Phone
(443) 815-1171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1 N Charles St Ste 222
Baltimore, MD 21201-3710

Mailing address

2901 Druid Park Dr Ste A105
Baltimore, MD 21215-8123
Phone (443) 815-1171

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL ivanforney@reachmaryland.com Direct
CONNECT URL ivanforney@reachmaryland.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Reach LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1740829050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 DRUID PARK DR STE A105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158123",
            "telephone_number": "443-815-1171",
            "fax_number": "443-769-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N CHARLES ST STE 222",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013710",
            "telephone_number": "410-449-1199",
            "fax_number": "443-769-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "FORNEY",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-815-1171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ivanforney@reachmaryland.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2901 Druid Park Dr Ste A105",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212158123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ivanforney@reachmaryland.com",
            "affiliation": "N",
            "endpointDescription": "bus email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2901 Druid Park Dr Ste A105",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212158123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 17, 2020; 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.