MAN ALIVE INC. NPI 1255312203

NPI Information

  • NPI: 1255312203
  • Provider Name: MAN ALIVE, INC.
  • Classification: Clinic/Center - 261QR0401X
  • Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Entity Type: Organization
  • Address: 2117 MARYLAND AVE
    BALTIMORE, MD
    ZIP 21218
  • Phone: (410) 837-4292

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NPI Details

MAN ALIVE, INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Baltimore, MD. MAN ALIVE, INC. NPI is 1255312203. The provider is registered as an organization entity type.

The provider's business location address is:

2117 MARYLAND AVE
BALTIMORE, MD
ZIP 21218-614
Phone: (410) 837-4292
Fax: (410) 837-0639

The provider's authorized official is Karen Reese .
The authorized official title is Executive Director and has the following contact phone number (410) 837-4292.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
  • Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for (HCPCS:G2077)

The enumeration date for this NPI number is 11/8/2005 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)900128MARYLANDYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
157387001OTHERMARYLANDCAREFIRST BCBS

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: 3/30/2025

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