Organization Active NPI

Success Starts Here

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1942955711
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SUCCESS STARTS HERE
Practice address
112 E 25TH St Unit 1
Baltimore, MD 21218-5214
Phone
(443) 858-1997
NPI assigned
Feb 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Tyrone C Dubose II
Title
Ceo
Phone
(443) 858-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

112 E 25TH St Unit 1
Baltimore, MD 21218-5214

Mailing address

5714 Allender Rd
White Marsh, MD 21162-1307
Phone (443) 858-1997

National Provider Directory

National Provider Directory

Locations

112 E 25th St
Unit 1
Baltimore, MD 21218
Phone (443) 858-1997

NPI Registry JSON

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1942955711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 ALLENDER RD",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621307",
            "telephone_number": "443-858-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 25TH ST UNIT 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185214",
            "telephone_number": "443-858-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS STARTS HERE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "DUBOSE",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-858-1997",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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 Sep 29, 2022; 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.