HOME FREE IOP (NPI# 1003205907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003205907 |
Entity Type | Organization |
Organization Name | HOME FREE IOP |
Practice Address |
10 W Madison St Ste 11 Baltimore MD 21201-5239 |
Practice Telephone | 4434385239 |
Mailing Telephone | 4434385239 |
Enumeration Date | 2015-01-15 |
Last Update Date | 2015-01-15 |
Authorized Official Name | KAREN LESLIE BRADLEY-POFF (PROGRAM ADMINISTRATOR) |
Authorized Official Telephone | 4102257696 |
Authorized Official Credential | CRNP |
Is Organization Subpart | Y |
Parent Organization Name | HOME FREE IOP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 905390 | MD | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316378680 | Home Free Iop | Community/Behavioral Health | 723 E Patapsco Ave, Baltimore, MD 21225-1934 | 2013-12-11 |
1104257799 | Home Free Iop | Community/Behavioral Health | 1500 Presstman St, Baltimore, MD 21217-2370 | 2013-12-06 |
Street Address |
10 W MADISON ST STE 11 |
City | BALTIMORE |
State | MD |
Zip Code | 21201-5239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508265737 | Jessica Page Sullivan | Nurse Practitioner | 10 W Madison St Ste 11, Baltimore, MD 21201 | 2014-08-13 |
1811505076 | Complete Wellness, Inc. | Psychologist | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2020-07-14 |
1265067631 | Joshua Kleiner | Counselor | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2020-03-06 |
1447881560 | Joseph Salvatore | Counselor | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2020-01-28 |
1790329894 | Complete Wellness Recovery, Inc | Counselor | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2019-10-31 |
1417458274 | Douglas A Frew | Psychologist | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2018-02-26 |
1053821827 | Complete Wellness, Inc. | Nutritionist | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2017-10-06 |
1013426071 | Donald Edward Dolan | Counselor | 10 W Madison St Ste 11, Baltimore, MD 21201 | 2017-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
Find all providers in zip 21201 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
1366056855 | The Wel Foundation, LLC. | Community/Behavioral Health | 5858 Belair Rd, Baltimore, MD 21206-2661 | 2020-09-02 |
1679185177 | Center for Youth and Families Inc | Community/Behavioral Health | 6304 Elinore Ave, Baltimore, MD 21206-1721 | 2020-08-18 |
1457977100 | Apex Wellness Group, LLC | Community/Behavioral Health | 118 E 25th St Unit 2, Baltimore, MD 21218-5281 | 2020-06-18 |
1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
1669093829 | Upcoming Enterprize Corporation | Community/Behavioral Health | 6615 Reisterstown Rd Ste Ll2, Baltimore, MD 21215-2686 | 2020-04-29 |
1922629344 | Providing Empowerment Advocacy & Social Skills | Community/Behavioral Health | 2361 Flax Ter, Baltimore, MD 21209-4625 | 2020-04-27 |
1801415153 | New Life Family Services LLC | Community/Behavioral Health | 3010 Ridgewood Ave Ste 210, Baltimore, MD 21215-6211 | 2020-04-15 |
Find all providers in BALTIMORE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.