MARYLAND COMMUNITY HEALTH INITIATIVES, INC. (NPI# 1598756736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598756736 |
| Entity Type | Organization |
| Organization Name | MARYLAND COMMUNITY HEALTH INITIATIVES, INC. |
| Practice Address |
2410 Pennsylvania Ave Suite 200 Baltimore MD 21217-1722 |
| Practice Telephone | 4107282080 |
| Practice Fax Number | 4107282038 |
| Mailing Telephone | 4107282080 |
| Mailing Fax Number | 4107282038 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | WILLIAM BROOKS (CEO) |
| Authorized Official Telephone | 4107282080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 404876800 | 05 |
| Other Name | Type Code |
|---|---|
| Penn North Neighborhood Center | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2648 Guilford Ave Apt 1fl, Baltimore, MD 212184611 | 4107282080 | |
| 2648 Guilford Ave Apt 2fl, Baltimore, MD 212184611 | 4107282080 | |
| 328 E 26th St, Baltimore, MD 212184702 | 4107282080 | |
| 1610 N Carey St, Baltimore, MD 212172836 | 4107282080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817075 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 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 |
| 1457802753 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2404 Pennsylvania Ave, Baltimore, MD 21217-1722 | 2016-10-21 |
| Street Address |
2410 PENNSYLVANIA AVE SUITE 200 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21217-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979500 | Jia K Allen | Pharmacist | 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 | 2018-11-01 |
| 1982186102 | Family First Home Care LLC | In Home Supportive Care | 1645 N Calhoun St Apt 205, Baltimore, MD 21217 | 2018-09-04 |
| 1821598616 | Organizational Pathways, LLC | Counselor | 2306 Mount Royal Ter Apt 1a, Baltimore, MD 21217 | 2018-02-18 |
| 1881131308 | Domonique Matthews | Registered Nurse | 1515 W. North Ave, 1st Floor, Baltimore, MD 21217 | 2017-01-23 |
| 1992121982 | Dorren Rennes | Counselor | 2350 Eutaw Place, Baltimore, MD 21217 | 2014-03-14 |
| 1437498615 | Care One Pharmacy Ltc/specialty Pharmacy | Pharmacy | 2277-2279 Reisterstown Road, Baltimore, MD 21217 | 2013-02-07 |
| 1790023448 | Adeola Titilayo Adefioye | Registered Nurse | 922-924 W. North Avenue, Total Health Care - True Health, Baltimore, MD 21217 | 2013-01-30 |
| 1912274150 | Total Health Care Inc. | Community/Behavioral Health | 5101 Division Street, Baltimore, MD 21217 | 2011-11-16 |
| 1386816395 | Kennedy Krieger Education and Communication | Social Worker | 1311 N. Gilmor St., Gilmore School, Baltimore, MD 21217 | 2008-03-31 |
| 1740452762 | Kennedy Krieger Education and Communication | Social Worker | 1200 Pennsylvania Ave., Furman L. Templeton, Baltimore, MD 21217 | 2008-03-31 |
| Find all providers in zip 21217 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817075 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 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.