West House Sober Living Home

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

WEST HOUSE SOBER LIVING HOME

Practice address

1649 Poplar Grove St
Baltimore, MD 21216-3512

Phone

(240) 583-7003

NPI assigned

Dec 3, 2024

Organization subpart

No

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

Authorized official

Name

Carla CardozaNPI 1811713050

Title

Owner/Director

Phone

(240) 583-7003

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Cardoza

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Baltimore, MD
  • NPI 1811713050

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1801612064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 QUINCY ST",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207841110",
            "telephone_number": "240-583-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 POPLAR GROVE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212163512",
            "telephone_number": "240-583-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HOUSE SOBER LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "CARDOZA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "240-583-7003"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadley Katharine Wesson, MD
• Russell Noel Wesson, M.B.CH.B
• Tristan Hunter Wesson
• West Baltimore Emergency Medicine Physicians, LLC
• West Baltimore Pace Community Coalition, LLC
• West North Pharmacy, Inc
• West Wellness Group
• Irene V. West-Dixon, LGSW
• Almaz Getachew West, LCPC, CRC. PHD
• Basil Edwin West Jr., MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.