Provider Type Icon

MI CASA ES SU CASA INC NPI 1053883066


NPI Information

NPI: 1053883066
Provider Name: MI CASA ES SU CASA INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3921 OLD YORK RD
BALTIMORE, MD
ZIP 21218
Phone: (443) 563-6280
Get Directions

MI CASA ES SU CASA INC is a substance abuse rehabilitation facility in Baltimore, MD. The provider is 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. MI CASA ES SU CASA INC NPI is 1053883066. The provider is registered as an organization entity type.

The provider's business location address is:

3921 OLD YORK RD
BALTIMORE, MD
ZIP 21218-910
Phone: (443) 563-6280

The provider's authorized official is Carlton Tyrone Carrington .
The authorized official title is Executive Director and has the following contact phone number (443) 708-8381.

The enumeration date for this NPI number is 1/2/2019 and was last updated on 1/2/2019.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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
1BH001393OTHERMARYLANDBEHAV HLTH ADMIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.