POSITIVE GENERATION IN CHRIST, INCORPORATED (NPI# 1841846615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841846615 |
| Entity Type | Organization |
| Organization Name | POSITIVE GENERATION IN CHRIST, INCORPORATED |
| Practice Address |
109 Beacon Rd Baltimore MD 21220-3504 |
| Mailing Address |
Po Box 1634 Tarboro NC 27886-1634 |
| Practice Telephone | 2528132530 |
| Practice Fax Number | 2526415461 |
| Mailing Telephone | 2526414522 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | IMMACULA SAINT LOUIS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2526414522 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 251SOOOOOX | 05 |
| Other Name | Type Code |
|---|---|
| PGIC Inc | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2109 Saint Andrew St Ste 15, Tarboro, NC 278862149 | 2526414522 | 2526415461 |
| 608 Gregg Ave Ste 102103, Florence, SC 295014317 | 8433194161 | 2526415461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245881366 | Positive Generation In Christ, Incorporated | Community/Behavioral Health | 608 Gregg Ave # 102103, Florence, SC 29501-4317 | 2019-09-20 |
| 1942562541 | Positive Generation In Christ, Incorporated | Counselor | 2901 N Main St, Tarboro, NC 27886-1920 | 2012-06-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | POSITIVE GENERATION IN CHRIST, INCORPORATED | 2100 N Main St, Tarboro, NC 27886-2135 |
| Street Address |
109 BEACON RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21220-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881164119 | Sian Crosby | Speech-Language Pathologist | Glenmar Elementrary School, 9700 Community Drive, Middle River, MD 21220 | 2018-11-29 |
| 1336545029 | Andrea Tuck | Counselor | 24 Granny Smith Ct, Baltimore, MD 21220 | 2014-11-07 |
| 1356762959 | Johns Hopkins Hospital | General Acute Care Hospital | 11550 Crossroad Circle, Unit 606, Middle River, MD 21220 | 2013-12-27 |
| 1770693392 | Costco Wholesale Corporation | Pharmacy | 9919 Pulaski Hwy, Baltimore, MD 21220 | 2006-08-30 |
| 1255393344 | James Wallace Carpenter | Physician Assistant | 10 North Green St, Va Med Center Ward 6b, Baltimore, MD 21220 | 2006-04-04 |
| 1386624427 | Allen F Clowers | Family Medicine | 107 Beacon Road, Baltimore, MD 21220 | 2006-01-17 |
| 1306229794 | Dorcas Lwanga | Dietitian, Registered | 201 Ballard Ave, Middle River, MD 21220 | 2015-07-02 |
| 1437550761 | Eastern Avenue Dental, LLC | Dentist | 12412 Eastern Ave, Baltimore, MD 21220 | 2014-09-05 |
| 1366857617 | Suprina Kaur | Dentist | 12412 Eastern Ave, Middle River, MD 21220 | 2014-06-25 |
| 1316905227 | Chienyenwa E. Nwachinemere | Internal Medicine | 201 Ballard Ave, Middle River, MD 21220 | 2006-05-02 |
| Find all providers in zip 21220 | ||||
| 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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| 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.