Active NPI
Carla Cardoza
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Baltimore, MD
National Provider Identifier
1811713050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Practice address
- 1649 Poplar Grove St
Baltimore, MD 21216-3512 - Phone
- (240) 583-7003
- NPI assigned
- Dec 3, 2024
- Last updated
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
1649 Poplar Grove St
Baltimore, MD 21216-3512
Mailing address
5500 Quincy St
Hyattsville, MD 20784-1110
Phone (240) 583-7003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West House Sober Living Home | Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Baltimore, MD
- NPI 1801612064
Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1811713050",
"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": {
"last_name": "CARDOZA",
"first_name": "CARLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"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": []
}
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 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.