Organization Active NPI

Rehabilitation Center for Humanity LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1790438406
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REHABILITATION CENTER FOR HUMANITY LLC
Practice address
4200 Edmondson Ave Ste 103
Baltimore, MD 21229-1600
Phone
(410) 362-2983
NPI assigned
Feb 2, 2022
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Gemette Bass
Title
Cfo
Phone
(443) 762-2603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

4200 Edmondson Ave Ste 103
Baltimore, MD 21229-1600

Mailing address

2903 Allendale Rd
Baltimore, MD 21216-1719
Phone (410) 763-1046

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.rchprpservices@gmail.com

National Provider Directory

National Provider Directory
Tax ID family
Rehabilitation Center for Humanity LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1790438406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 ALLENDALE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161719",
            "telephone_number": "410-763-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 EDMONDSON AVE STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291600",
            "telephone_number": "410-362-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION CENTER FOR HUMANITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "GEMETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "443-762-2603"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rchprpservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "4200 Edmondson Ave Ste 103",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212291600",
            "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 29, 2023; 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.