THE BALTIMORE STATION (NPI# 1710425020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710425020 |
| Entity Type | Organization |
| Organization Name | THE BALTIMORE STATION |
| Other Organization Name | BAKER STREET STATION |
| Practice Address |
1611 Baker St Baltimore MD 21217-2363 |
| Mailing Address |
140 W West St Baltimore MD 21230-3739 |
| Practice Telephone | 4107524454 |
| Practice Fax Number | 4104622561 |
| Mailing Telephone | 4107524454 |
| Mailing Fax Number | 4107524123 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | MR. JOHN ALAN FRIEDEL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4107524454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | MD-10287401 | MD | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Baker Street Station | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447448410 | The Baltimore Station | Substance Abuse Rehabilitation Facility | 140 W West St, Baltimore, MD 21230-3739 | 2007-10-04 |
| 1114447794 | The Baltimore Station | Substance Abuse Rehabilitation Facility | 140 W West St, Baltimore, MD 21230-3739 | 2017-06-23 |
| 1932629516 | The Baltimore Station | Substance Abuse Rehabilitation Facility | 1611 Baker St, Baltimore, MD 21217-2363 | 2017-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THE BALTIMORE STATION | 140 W West St, Baltimore, MD 21230-3739 |
| Street Address |
1611 BAKER ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21217-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407015563 | Anthony U Olandu | Counselor | 1611 Baker St, Baltimore, MD 21217-2363 | 2008-06-04 |
| 1932629516 | The Baltimore Station | Substance Abuse Rehabilitation Facility | 1611 Baker St, Baltimore, MD 21217-2363 | 2017-06-23 |
| 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 | 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] |
| 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 | ||||
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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.