PEACEFUL MINDS RESIDENTIAL SERVICES


Address: 3704 S Hanover St Unit 2a2b, Baltimore, MD 21225-1773
Phone: 4434187064

PEACEFUL MINDS RESIDENTIAL SERVICES (NPI# 1215548573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215548573
Entity Type Organization
Organization Name PEACEFUL MINDS RESIDENTIAL SERVICES
Practice Address 3704 S Hanover St Unit 2a2b
Baltimore
MD 21225-1773
Mailing Address 3704 S Hanover St
Baltimore
MD 21225-1773
Practice Telephone 4434187064
Mailing Telephone 4437598601
Enumeration Date 2020-08-11
Last Update Date 2020-10-07
Authorized Official Name MRS. JANEE JEREMI SPENCER (OWNER)
Authorized Official Telephone 4434187064
Authorized Official Credential LMSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
Residential Treatment Facilities
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
2733 Ashland Ave, Baltimore, MD 212051734 4437598601

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821697640 Peaceful Minds Residential Services Substance Abuse Rehabilitation Facility 3704 S Hanover St, Baltimore, MD 21225-1773 2020-10-22
1568073815 Peaceful Minds Residential Services Community Based Residential Treatment Facility, Mental Illness 2733 Ashland Ave, Baltimore, MD 21205-1734 2020-08-11
1316546823 Peaceful Minds Residential Services Substance Abuse Rehabilitation Facility 3704 S Hanover St, Baltimore, MD 21225-1773 2020-10-26

Office Location

Street Address 3704 S HANOVER ST UNIT 2A2B
City BALTIMORE
State MD
Zip Code 21225-1773

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386120293 Sumit Chhetri Student in an Organized Health Care Education/Training Program 3001 S. Hanover St, Department of Medicine, Baltimore, MD 21225 2018-07-13
1003334657 Matthew Scott Leeney Physician Assistant Medstar Harbor Hospital 3001 S Hanover St, Baltimore, MD 21225 2017-09-05
1396281168 Hasya Pearlman Social Worker 410 East Jeffrey Street, Baltimore, MD 21225 2017-01-17
1215484852 Anta Kah Nurse Practitioner 3001 S. Hanover St, Baltimore, MD 21225 2016-09-01
1649629320 Eddie Jung Chiropractor 541 E Patapsco Ave Ste 206, Baltimore, MD 21225 2016-06-03
1508284092 Diana Ladkany Emergency Medicine 3001 S Hanover St., Department of Emergency Medicine, Baltimore, MD 21225 2014-04-01
1871841304 Rachel Anne Hinckley Pharmacist 5804 Governor Ritchie Highway, Baltimore, MD 21225 2012-08-15
1174833040 Vincent M. Notarangelo, Md, Pa Ophthalmology 3001 S. Hanover Street, Suite 100, Baltimore, MD 21225 2010-10-13
1053647354 Adindu David Ezeocha Pharmacist 5804 Ritchie Hwy, Baltimore, MD 21225 2009-10-22
1700018090 Gayathri Murthy Internal Medicine Medstar Harbor Hospital, 3001 S Hanover St, Baltimore, MD 21225 2009-08-20
Find all providers in zip 21225

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942808050 Powell Recovery Center, Inc. Substance Abuse Rehabilitation Facility 10 S Broadway, Baltimore, MD 21231-1775 2020-10-12
1396343414 Powell Recovery Center, Inc. Substance Abuse Rehabilitation Facility 15 S Broadway, Baltimore, MD 21231-1714 2020-10-12
1457968984 Powell Recovery Center Substance Abuse Rehabilitation Facility 22 S Broadway, Baltimore, MD 21231-1711 2020-09-29
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

Competitor

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City BALTIMORE
Zip Code 21225

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Dataset Information

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.

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