NPIMap

Organization Active NPI

Nuwave Health Services

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1780275958
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NUWAVE HEALTH SERVICES
Practice address
3530 Manchester Avenue
Baltimore, MD 21215
Phone
(443) 869-5522
NPI assigned
Feb 1, 2021
Last updated
Feb 1, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NUWAVE HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Mr. Damon Lamont Marshall, RN
Title
Ceo
Phone
(443) 501-9317

Specialties & licenses 1

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

Addresses

Primary practice location

3530 Manchester Avenue
Baltimore, MD 21215

Mailing address

4419 Fallsroad Suite C
Baltimore, MD 21211
Phone (443) 869-5522

Other practice location 1

609 appleton street
baltimore, MD 21217
Phone (443) 869-5522

Other practice location 2

1727 Moreland avenue
baltimore, MD 21216
Phone (443) 869-5522

National Provider Directory

National Provider Directory
Tax ID family
Nuwave Health Srvices14 organizations share this tax ID, including this one
Part of
Nuwave Health Srvices

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1780275958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 FALLSROAD SUITE C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21211",
            "telephone_number": "443-869-5522",
            "fax_number": "443-869-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 MANCHESTER AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "443-869-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 appleton street",
            "address_purpose": "LOCATION",
            "city": "baltimore",
            "state": "MD",
            "postal_code": "21217",
            "country_code": "US",
            "telephone_number": "443-869-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1727 Moreland avenue",
            "address_purpose": "LOCATION",
            "city": "baltimore",
            "state": "MD",
            "postal_code": "21216",
            "country_code": "US",
            "telephone_number": "443-869-5522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NUWAVE HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NUWAVE HEALTH SERVICES",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-501-9317",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "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 Feb 1, 2021; 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.