NPIMap

Organization Active NPI

Illuminated Direction LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1821603010
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ILLUMINATED DIRECTION LLC
Practice address
312 N Charles St Ste 300&400
Baltimore, MD 21201-4360
Phone
(443) 955-0048
NPI assigned
Sep 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Carl Martin Noyes
Title
Special Projects Coordinator
Phone
(919) 223-4571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

312 N Charles St Ste 300&400
Baltimore, MD 21201-4360

Mailing address

2628 Camellia Dr Apt C
Durham, NC 27705-2054

National Provider Directory

National Provider Directory
Tax ID family
Illuminated Direction LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1821603010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 CAMELLIA DR APT C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N CHARLES ST STE 300&400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014360",
            "telephone_number": "443-955-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATED DIRECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "NOYES",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "SPECIAL PROJECTS COORDINATOR",
        "authorized_official_telephone_number": "919-223-4571"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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 Apr 17, 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.