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JR HEALTHCARE ASSOCIATES LLC NPI 1770073348


NPI Information

NPI: 1770073348
Provider Name: JR HEALTHCARE ASSOCIATES, LLC

Doing Business As: BEHAVIORAL HEALTH CLINIC (BHC)

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
700 WASHINGTON BLVD
BALTIMORE, MD
ZIP 21230
Phone: (410) 844-4110
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JR HEALTHCARE 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 HEALTHCARE ASSOCIATES, LLC NPI is 1770073348. The provider is registered as an organization entity type.
The provider Is Doing Business As Behavioral Health Clinic (bhc).

The provider's business location address is:

700 WASHINGTON BLVD
BALTIMORE, MD
ZIP 21230-350
Phone: (410) 844-4110
Fax: (410) 741-3008

The provider's authorized official is Lonetta Mason .
The authorized official title is Qa/pi Consultant and has the following contact phone number (410) 500-1310.

The enumeration date for this NPI number is 5/18/2018 and was last updated on 6/16/2018.


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
1251S00000XCommunity/Behavioral HealthBH000831MARYLANDYes

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
1BH000830OTHERMARYLANDMARYLAND DEPARTMENT OF HEALTH

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

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