NPIMap

Organization Active NPI

Maryland Community Health Initiatives, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1821689381
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MARYLAND COMMUNITY HEALTH INITIATIVES, INC.
Practice address
1622 N Carey St
Baltimore, MD 21217-2836
Phone
(410) 728-2080
Fax
(410) 728-2038
NPI assigned
Jan 28, 2021
Organization subpart
Yes
Parent organization
MARYLAND COMMUNITY HEALTH INITIATIVES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
William Brooks
Title
Ceo
Phone
(410) 728-2080

Specialties & licenses 1

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

Addresses

Primary practice location

1622 N Carey St
Baltimore, MD 21217-2836

Mailing address

2410 Pennsylvania Ave
Baltimore, MD 21217-1722
Phone (410) 728-2080

National Provider Directory

National Provider Directory
Tax ID family
Maryland Community Health Initiatives Inc17 organizations share this tax ID, including this one
Part of
Maryland Community Health Initiatives Inc

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

1622 N Carey St
Baltimore, MD 21217

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1821689381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 PENNSYLVANIA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171722",
            "telephone_number": "410-728-2080",
            "fax_number": "410-728-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 N CAREY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212172836",
            "telephone_number": "410-728-2080",
            "fax_number": "410-728-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND COMMUNITY HEALTH INITIATIVES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYLAND COMMUNITY HEALTH INITIATIVES, INC.",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-728-2080"
    },
    "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 Jan 28, 2021; 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.