TUERK HOUSE, INC (NPI# 1194205450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194205450 |
| Entity Type | Organization |
| Organization Name | TUERK HOUSE, INC |
| Practice Address |
5665 Purdue Ave Baltimore MD 21239-2802 |
| Mailing Address |
730 N Ashburton St Baltimore MD 21216-4703 |
| Practice Telephone | 4104675291 |
| Practice Fax Number | 4108002928 |
| Mailing Telephone | 4104675291 |
| Mailing Fax Number | 4108002928 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | VANESSA LYLE (SENIOR BILLING CLERK) |
| Authorized Official Telephone | 4104675291 |
| Is Organization Subpart | Y |
| Parent Organization Name | TUERK HOUSE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | BH000897 | MD | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 904734 | MD | Residential Treatment Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | BH000896 | MD | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION | BH000897 | 01 |
| MD | MARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION | 902140 | 01 |
| MD | MARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION | BH000896 | 01 |
| Other Name | Type Code |
|---|---|
| WEISMAN KAPLAN | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4100 College Ave, Ellicott City, MD 210435506 | 4104675291 | 4108002928 |
| 2523 Maryland Ave, Baltimore, MD 212184511 | 4104675291 | 4108002928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447732748 | Tuerk House, Inc | Substance Abuse Rehabilitation Facility | 5665 Purdue Ave, Baltimore, MD 21239-2802 | 2018-09-04 |
| 1346776580 | Tuerk House, Inc | Substance Abuse Rehabilitation Facility | 730 N Ashburton St, Baltimore, MD 21216-4703 | 2017-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TUERK HOUSE, INC | 730 N Ashburton St, Baltimore, MD 21216-4703 |
| Street Address |
5665 PURDUE AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21239-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609343219 | Tuerk House Inc | Community/Behavioral Health | 5665 Purdue Ave, Baltimore, MD 21239-2802 | 2018-11-01 |
| 1447732748 | Tuerk House, Inc | Substance Abuse Rehabilitation Facility | 5665 Purdue Ave, Baltimore, MD 21239-2802 | 2018-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809273 | Books of Color, LLC | Student in an Organized Health Care Education/Training Program | 1222 Walker Ave, Baltimore, MD 21239 | 2018-11-07 |
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1164940656 | Tarnisha Fitzgerald | Nurse Practitioner | 1601 East Belvedere Avenue, Baltimore, MD 21239 | 2017-09-05 |
| 1083153803 | J.pope & Associates, LLC | Counselor | 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 | 2017-02-13 |
| 1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
| 1730597766 | Ramona Taylor-knox | Counselor | 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 | 2014-07-22 |
| 1013259142 | Innovative Healing Solutions,llc | Social Worker | 1302 Silverthorne Rd, Baltimore, MD 21239 | 2013-03-27 |
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| 1164713350 | Vanessa G Brown | Pharmacist | 5618 The Alameda, Baltimore, MD 21239 | 2011-04-22 |
| Find all providers in zip 21239 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
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| 1356956676 | The Elysian Fields Optimum Wellness and Mental Health Group, LLC | Substance Abuse Rehabilitation Facility | 2901 Erdman Ave, Baltimore, MD 21213-1139 | 2020-09-14 |
| 1134731284 | Serenity Keepers of Maryland LLC | Substance Abuse Rehabilitation Facility | 3645 Cottage Ave, Baltimore, MD 21215-7725 | 2020-08-20 |
| 1447875216 | Unlimited Bounds Human Services LLC | Substance Abuse Rehabilitation Facility | 504 Beaumont Ave, Baltimore, MD 21212-4310 | 2020-06-08 |
| 1417577966 | Royal Minds Inc | Substance Abuse Rehabilitation Facility | 928 W Franklin St, Baltimore, MD 21223-1337 | 2020-04-24 |
| 1912527722 | Royal Minds Inc | Substance Abuse Rehabilitation Facility | 533 Chateau Ave, Baltimore, MD 21212-4306 | 2020-04-22 |
| 1841829892 | Cmds Residential | Substance Abuse Rehabilitation Facility | 15 S Fulton Ave, Baltimore, MD 21223-2306 | 2020-04-02 |
| 1306472964 | Created for Greater Health Systems | Substance Abuse Rehabilitation Facility | 1508 N Caroline St, Baltimore, MD 21213-2804 | 2020-03-16 |
| 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.