JR HEALTHCARE ASSOCIATES, LLC (NPI# 1053719575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053719575 |
| Entity Type | Organization |
| Organization Name | JR HEALTHCARE ASSOCIATES, LLC |
| Other Organization Name | BEHAVIORAL HEALTH CLINIC (BHC) |
| Practice Address |
2310 N Charles St Baltimore MD 21218 |
| Practice Telephone | 4108444110 |
| Practice Fax Number | 4107413008 |
| Mailing Telephone | 4108444110 |
| Mailing Fax Number | 4107413008 |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | NAG NELLURI (PRESIDENT) |
| Authorized Official Telephone | 4439954113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 905397 | MD | Agencies |
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
905397 | MD | Ambulatory Health Care Facilities |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
905397 | MD | Ambulatory Health Care Facilities |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
905397 | MD | Ambulatory Health Care Facilities |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
905397 | MD | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
905397 | MD | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
905397 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 200803300 | 05 |
| Other Name | Type Code |
|---|---|
| Behavioral Health Clinic (BHC) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780174359 | Jr Healthcare Associates, LLC | Clinic/Center | 700 Washington Blvd, Baltimore, MD 21230-2350 | 2018-05-18 |
| 1770073348 | Jr Healthcare Associates, LLC | Community/Behavioral Health | 700 Washington Blvd, Baltimore, MD 21230-2350 | 2018-05-18 |
| 1225528896 | Jr Healthcare Associates, LLC | Clinic/Center | 700 Washington Blvd, Baltimore, MD 21230-2350 | 2018-05-18 |
| 1528558210 | Jr Healthcare Associates, LLC | Clinic/Center | 700 Washington Blvd, Baltimore, MD 21230-2350 | 2018-05-17 |
| 1124471651 | Jr Healthcare Associates, LLC | Clinic/Center | 2310 N Charles St, Baltimore, MD 21218-5127 | 2016-07-20 |
| Street Address |
2310 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659439974 | Gloria Teresa Hilliard | Social Worker | 2310 N Charles St, Baltimore, MD 21218-5127 | 2006-12-06 |
| 1730743907 | Shyetta Mcqueen | Case Manager/Care Coordinator | 2310 N Charles St, Baltimore, MD 21218-5127 | 2019-04-23 |
| 1043873359 | Aarti Karunakar Shetty | Counselor | 2310 N Charles St, Baltimore, MD 21218-5127 | 2019-04-22 |
| 1265095624 | Cedric Tyree Hynson | Counselor | 2310 N Charles St, Baltimore, MD 21218-5127 | 2019-04-20 |
| 1285124339 | Jr Healthcare Associates LLC Dba. Behavioral Health Clinic (bhc) | Clinic/Center | 2310 N Charles St, Baltimore, MD 21218-5127 | 2018-05-15 |
| 1124471651 | Jr Healthcare Associates, LLC | Clinic/Center | 2310 N Charles St, Baltimore, MD 21218-5127 | 2016-07-20 |
| 1942651377 | Veronica Lavind | Social Worker | 2310 N Charles St, Baltimore, MD 21218-5127 | 2016-06-27 |
| 1427404748 | Jr Health Care Associates, LLC | Clinic/Center | 2310 N Charles St, Baltimore, MD 21218-5127 | 2016-05-05 |
| 1689042541 | Jr Health Care Associates, LLC | Clinic/Center | 2310 N Charles St, Baltimore, MD 21218-5127 | 2015-09-09 |
| 1922499854 | David Burdette | Social Worker | 2310 N Charles St, Baltimore, MD 21218-5127 | 2015-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1043838956 | Alpha New Hope Health Services | Clinic/Center | 38 S Dundalk Ave Ste B1, Baltimore, MD 21222-4280 | 2020-07-07 |
| 1700402740 | Guiding Lives | Clinic/Center | 6305 Belair Rd Ste 2, Baltimore, MD 21206-1817 | 2020-06-24 |
| 1881217859 | Thrive Telepsychiatry, LLC | Clinic/Center | 6905 York Rd # 38, Baltimore, MD 21212-1510 | 2020-05-25 |
| 1225651433 | Debobeth Medical Center | Clinic/Center | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-21 |
| 1669094116 | The Balance Center, LLC | Clinic/Center | 5859 Western Run Dr Apt C, Baltimore, MD 21209-4140 | 2020-05-07 |
| 1699300863 | Treasure Health Systems, Inc | Clinic/Center | 1900 E Northern Pkwy Ste 209, Baltimore, MD 21239-2110 | 2020-03-09 |
| 1932734266 | Redeeming Light Wellness Center LLC | Clinic/Center | 1 N Charles St Ste 1503, Baltimore, MD 21201-3724 | 2020-03-06 |
| 1649805078 | Empowering Minds Resource Center | Clinic/Center | 1800 N Charles St Fl 6, Baltimore, MD 21201-5920 | 2020-03-05 |
| 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.