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NEXUS-WOODBOURNE FAMILY HEALING NPI 1033149257


NPI Information

NPI: 1033149257
Provider Name: NEXUS-WOODBOURNE FAMILY HEALING
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1301 WOODBOURNE AVE
BALTIMORE, MD
ZIP 21239
Phone: (410) 433-1000
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NEXUS-WOODBOURNE FAMILY HEALING is a residential treatment facility emotionally disturbed children in Baltimore, MD. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. NEXUS-WOODBOURNE FAMILY HEALING NPI is 1033149257. The provider is registered as an organization entity type.

The provider's business location address is:

1301 WOODBOURNE AVE
BALTIMORE, MD
ZIP 21239-316
Phone: (410) 433-1000
Fax: (410) 435-2938

The provider's authorized official is Kenneth Varble .
The authorized official title is Corporate Controller and has the following contact phone number (763) 551-8640.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 12/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1235395400MEDICAIDMARYLAND
2324502100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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