Maryland Recovery Homes LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MARYLAND RECOVERY HOMES LLC

Practice address

3812 Chesley Ave
Baltimore, MD 21206-1509

Phone

(410) 215-2619

NPI assigned

Jan 16, 2025

Organization subpart

No

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

Authorized official

Name

Katherine Janesta Kelley

Title

Program Director

Phone

(410) 215-2619

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1780495002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 CHESLEY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061509",
            "telephone_number": "410-215-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 CHESLEY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061509",
            "telephone_number": "410-215-2619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 Weitzel Ave Apt 2",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212142874",
            "country_code": "US",
            "telephone_number": "410-215-2619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4530 Weitzel Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212142882",
            "country_code": "US",
            "telephone_number": "410-215-2619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3912 Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212063506",
            "country_code": "US",
            "telephone_number": "410-215-2619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYLAND RECOVERY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "JANESTA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-215-2619"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000142723",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000051637",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000051629",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000054548",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryland Provo-I Medical Services, PC
• Maryland Psychiatric Associates LLC
• Maryland Psychiatric Care
• Maryland Psychological and Management Services Center, LLC
• Maryland Psychotherapy Services LLC
• Maryland Recovery Organization Connecting Communities (M-Rocc)
• Maryland Rehab Specialists
• Maryland Spine Center Chartered
• Maryland Spine Center Chartered
• Maryland Spine Center Chartered

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.