NPIMap

Organization Active NPI

JK Health Systems LLC

Doing business as JK Health Sytems LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1841984705
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
JK HEALTH SYSTEMS LLC
Doing business as
JK Health Sytems LLC
Practice address
3620 S Hanover St
Baltimore, MD 21225-1705
Phone
(410) 354-2200
Fax
(410) 354-2201
NPI assigned
Jun 5, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Olaninkan Olaseha
Title
Ceo
Phone
(410) 354-2200

Specialties & licenses 1

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

Addresses

Primary practice location

3620 S Hanover St
Baltimore, MD 21225-1705

Mailing address

3620 S Hanover St
Baltimore, MD 21225-1705
Phone (410) 354-2200

Other names 1

  • JK HEALTH SYTEMS LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JK Health Systems LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

3620 S Hanover St
Baltimore, MD 21225
Phone (410) 354-2200

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1841984705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251705",
            "telephone_number": "410-354-2200",
            "fax_number": "410-354-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251705",
            "telephone_number": "410-354-2200",
            "fax_number": "410-354-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "OLASEHA",
        "authorized_official_first_name": "OLANINKAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-354-2200"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JK HEALTH SYTEMS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 5, 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.