Organization Active NPI

Rak Health Care Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owings Mills, MD
National Provider Identifier
1871240556
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RAK HEALTH CARE SERVICES, INC.
Practice address
110 Painters Mill Rd Ste 117a
Owings Mills, MD 21117-5514
Phone
(443) 675-8587
Fax
(443) 394-9449
NPI assigned
Mar 3, 2022
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Dr. Alphonsus Chukwudi Korie Sr., PHD
Title
Ceo/Program Director
Phone
(443) 675-8587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

110 Painters Mill Rd Ste 117a
Owings Mills, MD 21117-5514

Mailing address

110 Painters Mill Rd Ste 117a
Owings Mills, MD 21117-5514
Phone (443) 675-8587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251105003598 MD Part B Supplier - Clinic/Group Practice 8224528559 Receives reassigned benefits from 3 practitioners
Practice locations: Owings Mills, MD

National Provider Directory

National Provider Directory
Tax ID family
Rak Health Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1871240556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 117A",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175514",
            "telephone_number": "443-675-8587",
            "fax_number": "443-394-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 117A",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175514",
            "telephone_number": "443-675-8587",
            "fax_number": "443-394-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAK HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "KORIE",
        "authorized_official_first_name": "ALPHONSUS",
        "authorized_official_middle_name": "CHUKWUDI",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-675-8587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.