Organization Active NPI

Reach, LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1891407086
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
REACH, LLC
Practice address
2214 Jefferson St
Baltimore, MD 21205-2407
Phone
(443) 529-9083
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Mr. Ivan Forney
Title
Co-Owner
Phone
(443) 815-1171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2214 Jefferson St
Baltimore, MD 21205-2407

Mailing address

1 N Charles St Ste 222
Baltimore, MD 21201-3710
Phone (443) 831-1171

Other identifiers 1

IdentifierTypeStateIssuer
220612732OtherMDBHA LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Reach LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1891407086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N CHARLES ST STE 222",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013710",
            "telephone_number": "443-831-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 JEFFERSON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052407",
            "telephone_number": "443-529-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "FORNEY",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "443-815-1171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHA LICENSE NUMBER",
            "identifier": "220612732",
            "state": "MD"
        }
    ],
    "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 Feb 27, 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.