NPIMap

Organization Active NPI

PHR of Baltimore, Inc.

Doing business as PHR Hospice Physician Services

  • Community Based Hospice Care Agency
  • Baltimore, MD
National Provider Identifier
1770755233
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
H1512 Issued in MD
Legal business name
PHR OF BALTIMORE, INC.
Doing business as
PHR Hospice Physician Services
Practice address
1501 S Edgewood St
Suite a
Baltimore, MD 21227-1071
Phone
(703) 752-8700
NPI assigned
Mar 25, 2008
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Brian Clemens
Title
VP - Finance
Phone
(703) 752-8710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X H1512 MD Primary

Addresses

Primary practice location

1501 S Edgewood St
Suite a
Baltimore, MD 21227-1071

Mailing address

7619 Little River Tpke
Suite 600
Annandale, VA 22003-2625
Phone (703) 752-8700

Other names 1

  • PHR Hospice Physician Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
PHR of Baltimore Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1770755233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 LITTLE RIVER TPKE",
            "address_2": "SUITE 600",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032625",
            "telephone_number": "703-752-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S EDGEWOOD ST",
            "address_2": "SUITE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271071",
            "telephone_number": "703-752-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHR OF BALTIMORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "CLEMENS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP - FINANCE",
        "authorized_official_telephone_number": "703-752-8710"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MD",
            "license": "H1512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHR Hospice Physician Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 6, 2012; 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.