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JR HEALTH CARE ASSOCIATES LLC NPI 1689042541


NPI Information

NPI: 1689042541
Provider Name: JR HEALTH CARE ASSOCIATES, LLC

Doing Business As: BEHAVIORAL HEALTH CLININC (BHC)

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2310 N CHARLES ST
BALTIMORE, MD
ZIP 21218
Phone: (410) 844-4110
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JR HEALTH CARE ASSOCIATES, LLC is a community behavioral health in Baltimore, MD. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. JR HEALTH CARE ASSOCIATES, LLC NPI is 1689042541. The provider is registered as an organization entity type.
The provider Is Doing Business As Behavioral Health Clininc (bhc).

The provider's business location address is:

2310 N CHARLES ST
BALTIMORE, MD
ZIP 21218-127
Phone: (410) 844-4110

The provider's authorized official is Nag Nelluri .
The authorized official title is President and has the following contact phone number (443) 995-4113.

The enumeration date for this NPI number is 9/9/2015 and was last updated on 4/22/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth Service905861MARYLANDNo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder905861MARYLANDNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)MH-1846MARYLANDNo
4261QM0850XClinic/CenterAdult Mental HealthMH-1846MARYLANDNo
5261QM0855XClinic/CenterAdolescent and Children Mental HealthMH-1846MARYLANDNo
6261QR0405XClinic/CenterRehabilitation, Substance Use DisorderMH-1962MARYLANDNo
7261QR0400XClinic/CenterRehabilitationMH-1962MARYLANDNo
8251S00000XCommunity/Behavioral Health905861MARYLANDYes

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
14233417-00MEDICAIDMARYLAND
21053719575OTHERMARYLANDNPI NUMBER
34239041-00MEDICAIDMARYLAND
41689042541OTHERMARYLANDNPI NUMBER #

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: 11/14/2023

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.