NPIMap

Organization Active NPI

Homecentris Community Care, LLC

  • Community Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1801264841
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
HOMECENTRIS COMMUNITY CARE, LLC
Practice address
3617 Fords LN
Baltimore, MD 21215-2900
Phone
(410) 356-4779
Fax
(410) 415-1137
NPI assigned
Sep 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Timothy Joseph Trybus
Title
Cfo
Phone
(410) 486-5330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

3617 Fords LN
Baltimore, MD 21215-2900

Mailing address

10 Crossroads Dr
Suite 110
Owings Mills, MD 21117-5458
Phone (410) 486-5330

National Provider Directory

National Provider Directory
Tax ID family
Homecentris Community Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1801264841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CROSSROADS DR",
            "address_2": "SUITE 110",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175458",
            "telephone_number": "410-486-5330",
            "fax_number": "410-486-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 FORDS LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152900",
            "telephone_number": "410-356-4779",
            "fax_number": "410-415-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECENTRIS COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "TRYBUS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-486-5330"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "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 Aug 22, 2018; 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.