Active NPI
Reach LLC
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
National Provider Identifier
1740829050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1235697293
-
- Children's Substance Abuse Rehabilitation Facility
- Baltimore, MD
- NPI 1376182683
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1457121220
-
- Developmentally Disabled Services Day Training Agency
- Baltimore, MD
- NPI 1538845367
-
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
- NPI 1609588896
-
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
- NPI 1689313561
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1780445635
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1811624026
-
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
- NPI 1891407086
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.