PIKESVILLE HEALTH SERVICES LLC NPI 1457703993

NPI Information

NPI: 1457703993
Provider Name: PIKESVILLE HEALTH SERVICES LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1209 GREENWOOD RD
BALTIMORE, MD
ZIP 21208
Phone: (410) 415-6384
Get Directions

PIKESVILLE HEALTH SERVICES LLC is a rehabilitation and substance use disorder clinic center in Baltimore, MD. PIKESVILLE HEALTH SERVICES LLC NPI is 1457703993. The provider is registered as an organization entity type.

The provider's business location address is:

1209 GREENWOOD RD
BALTIMORE, MD
ZIP 21208-609
Phone: (410) 415-6384

The provider's authorized official is Amiel Chicheportiche .
The authorized official title is Program Sponsor and has the following contact phone number (410) 415-6384.

The enumeration date for this NPI number is 7/8/2016 and was last updated on 8/18/2016.

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
1	261QM2800X	Clinic/Center	Methadone	906136	MARYLAND	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	906136	MARYLAND	Yes

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
1	899655	OTHER	MARYLAND	BEACON
2	3993027	MEDICAID	MARYLAND

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

NPI Synchronization or Removal

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