4 WALLS HEALTH SERVICES INC. (NPI# 1407007289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407007289 |
| Entity Type | Organization |
| Organization Name | 4 WALLS HEALTH SERVICES INC. |
| Practice Address |
6609 Reisterstown Rd Suite 104 Baltimore MD 21215-2315 |
| Practice Telephone | 4437626949 |
| Mailing Telephone | 4437626949 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |
| Authorized Official Name | MRS. PAMELA ANDREA GIBSON-JONES (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4437626949 |
| Authorized Official Credential | CAC-AD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Street Address |
6609 REISTERSTOWN RD SUITE 104 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578523379 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 6609 Reisterstown Rd, Ste 100, Baltimore, MD 21215-2315 | 2006-03-24 |
| 1841801883 | Dlls & T | Counselor | 6609 Reisterstown Rd, Baltimore, MD 21215-2315 | 2020-08-13 |
| 1528476157 | The Baltimore Therapy Center, LLC | Clinic/Center | 6609 Reisterstown Rd, Suite 206d, Baltimore, MD 21215-2315 | 2014-07-28 |
| 1588088694 | Parkside Dialysis LLC | Clinic/Center | 6609 Reisterstown Rd, Ste 100, Baltimore, MD 21215-2662 | 2014-02-10 |
| 1669497350 | Margaret Ann Brown | Social Worker | 6609 Reisterstown Rd, Suite 209, Baltimore, MD 21215-2315 | 2006-07-13 |
| 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 | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 1740707140 | Global Healthcare Systems, Inc | Clinic/Center | 1045 Taylor Ave Ste 104, Baltimore, MD 21286-8315 | 2017-08-25 |
| 1962893768 | St Paul & Biddle Medical Assoc. | Clinic/Center | 1721 Ramblewood Rd, Baltimore, MD 21239-3040 | 2015-02-15 |
| 1255312203 | Man Alive, Inc. | Clinic/Center | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2005-11-08 |
| 1437759735 | Choices Integrative Healthcare, Inc. | Clinic/Center | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-27 |
| 1295214617 | Compassionate Health Services LLC | Clinic/Center | 9403 Harford Rd Ste 6, Baltimore, MD 21234-3123 | 2018-08-07 |
| 1275022170 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-07 |
| 1174077796 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1427502046 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 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.