Active NPI
Prime Care Transformation Organization, LLC
- Health Service Clinic/Center
- Baltimore, MD
National Provider Identifier
1871280941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- PRIME CARE TRANSFORMATION ORGANIZATION, LLC
- Practice address
- 9649 Belair Rd Ste 202
Baltimore, MD 21236-1116 - Phone
- (410) 237-6904
- Fax
- (410) 237-6912
- NPI assigned
- Apr 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chaunte Francine Harris, PHARMD
- Title
- Executive Director
- Phone
- (410) 237-6904
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Management Registered Nurse | 163WC0400X | |||
| Internal Medicine Physician | 207R00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Pharmacy | 333600000X | |||
| Prevention Professional | 405300000X |
Addresses
Primary practice location
9649 Belair Rd Ste 202
Baltimore, MD 21236-1116
Mailing address
9649 Belair Rd Ste 202
Baltimore, MD 21236-1116
Phone (410) 237-6904
Other names 1
- Prime CTO
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Baltimore, MD
- NPI 1346556677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681862400000",
"number": "1871280941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9649 BELAIR RD STE 202",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212361116",
"telephone_number": "410-237-6904",
"fax_number": "410-237-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9649 BELAIR RD STE 202",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212361116",
"telephone_number": "410-237-6904",
"fax_number": "410-237-6912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME CARE TRANSFORMATION ORGANIZATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-19",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "CHAUNTE",
"authorized_official_middle_name": "FRANCINE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "410-237-6904",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prime CTO",
"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 Apr 19, 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.