MAN ALIVE, INC. (NPI# 1255312203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255312203 |
| Entity Type | Organization |
| Organization Name | MAN ALIVE, INC. |
| Practice Address |
2117 Maryland Ave Baltimore MD 21218-5614 |
| Practice Telephone | 4108374292 |
| Practice Fax Number | 4108370639 |
| Mailing Telephone | 4108374292 |
| Mailing Fax Number | 4108370639 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KAREN REESE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4108374292 |
| Authorized Official Credential | M.A., CAC-AD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
900128 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BCBS | 57387001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437488053 | Man Alive, Inc. | Counselor | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2009-12-10 |
| Street Address |
2117 MARYLAND AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174176853 | Colleen Harnish Herbert | Social Worker | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2019-07-22 |
| 1023470440 | Lane Treatment Center, LLC | Clinic/Center | 2117 Maryland Ave, Suite 400, Baltimore, MD 21218-5614 | 2016-03-24 |
| 1598126740 | Lane Treatment Center, LLC | Rehabilitation Counselor | 2117 Maryland Ave, Suite 400, Baltimore, MD 21218-5614 | 2016-03-16 |
| 1639545635 | Kimberly Bonsiero | Social Worker | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2015-08-13 |
| 1689098089 | Susan Lynn Doyle | Registered Nurse | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2014-02-06 |
| 1013330158 | Jeffrey Michael Galecki | Counselor | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2014-01-25 |
| 1841514908 | Lane Treatment Center | Counselor | 2117 Maryland Ave, Suite 400, Baltimore, MD 21218-5614 | 2010-03-18 |
| 1982927117 | David Engwall | Counselor | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2010-03-02 |
| 1437488053 | Man Alive, Inc. | Counselor | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2009-12-10 |
| 1538390307 | Joann Suchinsky Kay | Social Worker | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2009-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 1962893768 | St Paul & Biddle Medical Assoc. | Clinic/Center | 1721 Ramblewood Rd, Baltimore, MD 21239-3040 | 2015-02-15 |
| 1437759735 | Choices Integrative Healthcare, Inc. | Clinic/Center | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-27 |
| 1295214617 | Compassionate Health Services LLC | Clinic/Center | 9403 Harford Rd Ste 6, Baltimore, MD 21234-3123 | 2018-08-07 |
| 1275022170 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-07 |
| 1174077796 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1427502046 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1588016422 | Mosaic Community Services, Inc. | Clinic/Center | 234 S Broadway, Baltimore, MD 21231-2405 | 2016-07-03 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.