NPIMap

Organization Active NPI

Powell Recovery Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1912477704
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
POWELL RECOVERY CENTER, INC.
Practice address
1623 - 1633 E Lombard St
Baltimore, MD 21231-1721
Phone
(410) 276-1773
NPI assigned
Dec 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Kim Wireman, LCSW-C, LCADD
Title
President/Ceo
Phone
(443) 610-1455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1623 - 1633 E Lombard St
Baltimore, MD 21231-1721

Mailing address

14 S Broadway
Baltimore, MD 21231-1712
Phone (410) 276-1773

National Provider Directory

National Provider Directory
Tax ID family
Powell Recovery Center58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

1623 E Lombard St
Baltimore, MD 21231

1633 E Lombard St
Baltimore, MD 21231

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1912477704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311712",
            "telephone_number": "410-276-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 - 1633 E LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311721",
            "telephone_number": "410-276-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "WIREMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "443-610-1455",
        "authorized_official_credential": "LCSW-C, LCADD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 8, 2025; 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.