TIME ORGANIZATION, INC


Address: 4552 Edmondson Ave, Baltimore, MD 21229-1506
Phone: 4439900975

TIME ORGANIZATION, INC (NPI# 1306312897) 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) 1306312897
Entity Type Organization
Organization Name TIME ORGANIZATION, INC
Practice Address 4552 Edmondson Ave
Baltimore
MD 21229-1506
Mailing Address 300 E Lombard St Ste 1111
Baltimore
MD 21202-3232
Practice Telephone 4439900975
Practice Fax Number 4439900979
Mailing Telephone 1410227942
Enumeration Date 2018-10-23
Last Update Date 2018-10-23
Authorized Official Name LAUREN HERRON (VICE PRESIDENT OF OPERATIONS)
Authorized Official Telephone 4102279426
Authorized Official Credential LCSW-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1275877870 Time Organization, Inc Clinic/Center 7310 Ritchie Hwy Ste 100, Glen Burnie, MD 21061-3170 2012-11-20
1801056098 Time Organization, Inc Clinic/Center 2901 Druid Park Drive, Suite A202, Baltimore, MD 21215-8101 2008-06-11

Office Location

Street Address 4552 EDMONDSON AVE
City BALTIMORE
State MD
Zip Code 21229-1506

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NPI Name Taxonomy Address Enumeration
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1598328080 Oprah Cherelle Keyes Social Worker 4511 Birchwood Drive, Baltimore, MD 21229 2019-04-19
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1184175697 Yekeen Odewale Registered Nurse 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 2016-10-19
1942608070 Charity Ashe Social Worker 4024 Colborne Rd, Baltimore, MD 21229 2014-12-05
1376947127 Sumanya Venkat Rao Dentist 4510 Edmondson Ave, Baltimore, MD 21229 2014-10-21
1497091573 Anita Phillips Social Worker 5110 Frederick Avenue, Baltimore, MD 21229 2012-12-18
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21229

Improve Information

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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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