MAN ALIVE TRANSITION HOUSE LLC NPI 1629506266

NPI Information

NPI: 1629506266
Provider Name: MAN ALIVE TRANSITION HOUSE LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2649 CHESTERFIELD AVE
BALTIMORE, MD
ZIP 21213
Phone: (410) 297-1560
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MAN ALIVE TRANSITION HOUSE LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Baltimore, MD. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MAN ALIVE TRANSITION HOUSE LLC NPI is 1629506266. The provider is registered as an organization entity type.

The provider's business location address is:

2649 CHESTERFIELD AVE
BALTIMORE, MD
ZIP 21213-106
Phone: (410) 297-1560

The provider's authorized official is Darrin Navon Oneal .
The authorized official title is Owner/ceo and has the following contact phone number (410) 297-1560.

The enumeration date for this NPI number is 5/26/2017 and was last updated on 7/21/2022.

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 Code	Taxonomy Clasification	Primary
1	251B00000X	Case Management	No
2	251C00000X	Day Training, Developmentally Disabled Services	No
3	251S00000X	Community/Behavioral Health	No
4	251X00000X	Supports Brokerage	No
5	253Z00000X	In Home Supportive Care	No
6	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	No
7	320700000X	Residential Treatment Facility, Physical Disabilities	No
8	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Yes

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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