Provider Type Icon

ISSIAIH HOUSE 1 NPI 1275019580


NPI Information

NPI: 1275019580
Provider Name: ISSIAIH HOUSE 1

Doing Business As: ISSAIAH HOUSE 1

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2802 HARFORD RD
BALTIMORE, MD
ZIP 21218
Phone: (443) 882-1943
Get Directions

ISSIAIH HOUSE 1 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. ISSIAIH HOUSE 1 NPI is 1275019580. The provider is registered as an organization entity type.
The provider Is Doing Business As Issaiah House 1.

The provider's business location address is:

2802 HARFORD RD
BALTIMORE, MD
ZIP 21218-953
Phone: (443) 882-1943
Fax: (410) 558-6222

The provider's authorized official is Darryl Edward Braxton .
The authorized official title is Director and has the following contact phone number (443) 882-1943.

The enumeration date for this NPI number is 7/19/2018 and was last updated on 6/14/2019.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2324500000XSubstance Abuse Rehabilitation FacilityBH000372MARYLANDYes

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.