NPIMap

Organization Active NPI

Goodwill Industries of the Chesapeake, Inc

  • Local Education Agency (LEA)
  • Baltimore, MD
National Provider Identifier
1881922490
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GOODWILL INDUSTRIES OF THE CHESAPEAKE, INC
Practice address
2211 Maryland Ave
Baltimore, MD 21218-5627
Phone
(410) 625-1877
Fax
(443) 524-8258
NPI assigned
Nov 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Mrs. Evera Rutledge Smith
Title
Program Director
Phone
(410) 625-1877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

2211 Maryland Ave
Baltimore, MD 21218-5627

Mailing address

32 South St FL 1
Baltimore, MD 21202-3214
Phone (410) 625-1877

Other identifiers 1

IdentifierTypeStateIssuer
418520000MedicaidMD

Other names 1

  • STEP Division Other name

National Provider Directory

National Provider Directory
Tax ID family
Goodwill Industries of the Chesapeake Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

2211 Maryland Ave
Baltimore, MD 21218
Phone (410) 246-0600

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1881922490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SOUTH ST FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023214",
            "telephone_number": "410-625-1877",
            "fax_number": "443-873-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185627",
            "telephone_number": "410-625-1877",
            "fax_number": "443-524-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF THE CHESAPEAKE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE SMITH",
        "authorized_official_first_name": "EVERA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-625-1877",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418520000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEP Division",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 16, 2017; 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.