BON SECOURS HOSPITAL, INC. DBA COMMUNITY INSTITUTE OF BEHAVIORAL SERVI (NPI# 1104045368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104045368 |
| Entity Type | Organization |
| Organization Name | BON SECOURS HOSPITAL, INC. DBA COMMUNITY INSTITUTE OF BEHAVIORAL SERVI |
| Other Organization Name | SCHOOL BASED PROGRAM |
| Practice Address |
3101 Towanda Ave Baltimore MD 21215-7827 |
| Practice Telephone | 4103623557 |
| Practice Fax Number | 4103834973 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | DEBORAH LIGGINS (ADMINISTRATOR) |
| Authorized Official Telephone | 4103834941 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 333771500 | 05 |
| Other Name | Type Code |
|---|---|
| School Based Program | Doing Business As Name - Organization |
| Street Address |
3101 TOWANDA AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-7827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518154582 | Chonita Booker-tindall | Social Worker | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2007-10-03 |
| 1780195842 | Bon Secours Hospital Baltimore, Inc | Social Worker | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2017-10-17 |
| 1609288927 | Bon Secours Baltimore Health System | Community/Behavioral Health | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2014-05-21 |
| 1184954836 | Bon Secours | Community/Behavioral Health | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2009-12-31 |
| 1346579919 | Robert Louis Levine | Social Worker | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2009-12-10 |
| 1033307095 | Antesha Milton | Social Worker | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2007-10-04 |
| 1568659555 | Judie Thompson-stokes | Social Worker | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
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| 1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
| 1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
| 1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
| 1174132518 | Sabinas House LLC | Clinic/Center | 3103 Mareco Ave, Baltimore, MD 21213-1619 | 2020-07-30 |
| 1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
| 1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
| 1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
| 1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
| 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.