JR HEALTHCARE ASSOCIATES LLC DBA. BEHAVIORAL HEALTH CLINIC (BHC) (NPI# 1285124339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285124339 |
| Entity Type | Organization |
| Organization Name | JR HEALTHCARE ASSOCIATES LLC DBA. BEHAVIORAL HEALTH CLINIC (BHC) |
| Practice Address |
2310 N Charles St Baltimore MD 21218-5127 |
| Practice Telephone | 4108444110 |
| Practice Fax Number | 4107413008 |
| Mailing Telephone | 4108444110 |
| Mailing Fax Number | 4107413008 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | NAG NELLURI (PRESIDENT & CEO) |
| Authorized Official Telephone | 4439954113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MH-1962 | MD | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
905861 | MD | Ambulatory Health Care Facilities |
| Y | 251S00000X | Community/Behavioral Health | MH-1846 | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 4233417-00 | 05 | |
| MD | 9000089-00 | 05 | |
| MD | 4239041-00 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 Washington Blvd, Baltimore, MD 212302350 | 4108444110 | 4107413008 |
| Street Address |
2310 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659439974 | Gloria Teresa Hilliard | Social Worker | 2310 N Charles St, Baltimore, MD 21218-5127 | 2006-12-06 |
| 1730743907 | Shyetta Mcqueen | Case Manager/Care Coordinator | 2310 N Charles St, Baltimore, MD 21218-5127 | 2019-04-23 |
| 1043873359 | Aarti Karunakar Shetty | Counselor | 2310 N Charles St, Baltimore, MD 21218-5127 | 2019-04-22 |
| 1265095624 | Cedric Tyree Hynson | Counselor | 2310 N Charles St, Baltimore, MD 21218-5127 | 2019-04-20 |
| 1124471651 | Jr Healthcare Associates, LLC | Clinic/Center | 2310 N Charles St, Baltimore, MD 21218-5127 | 2016-07-20 |
| 1942651377 | Veronica Lavind | Social Worker | 2310 N Charles St, Baltimore, MD 21218-5127 | 2016-06-27 |
| 1427404748 | Jr Health Care Associates, LLC | Clinic/Center | 2310 N Charles St, Baltimore, MD 21218-5127 | 2016-05-05 |
| 1689042541 | Jr Health Care Associates, LLC | Clinic/Center | 2310 N Charles St, Baltimore, MD 21218-5127 | 2015-09-09 |
| 1922499854 | David Burdette | Social Worker | 2310 N Charles St, Baltimore, MD 21218-5127 | 2015-02-13 |
| 1053719575 | Jr Healthcare Associates, LLC | Community/Behavioral Health | 2310 N Charles St, Baltimore, MD 21218 | 2014-12-16 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
| 1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1366056855 | The Wel Foundation, LLC. | Community/Behavioral Health | 5858 Belair Rd, Baltimore, MD 21206-2661 | 2020-09-02 |
| 1679185177 | Center for Youth and Families Inc | Community/Behavioral Health | 6304 Elinore Ave, Baltimore, MD 21206-1721 | 2020-08-18 |
| 1457977100 | Apex Wellness Group, LLC | Community/Behavioral Health | 118 E 25th St Unit 2, Baltimore, MD 21218-5281 | 2020-06-18 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1669093829 | Upcoming Enterprize Corporation | Community/Behavioral Health | 6615 Reisterstown Rd Ste Ll2, Baltimore, MD 21215-2686 | 2020-04-29 |
| 1922629344 | Providing Empowerment Advocacy & Social Skills | Community/Behavioral Health | 2361 Flax Ter, Baltimore, MD 21209-4625 | 2020-04-27 |
| 1801415153 | New Life Family Services LLC | Community/Behavioral Health | 3010 Ridgewood Ave Ste 210, Baltimore, MD 21215-6211 | 2020-04-15 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on JR HEALTHCARE ASSOCIATES LLC DBA. BEHAVIORAL HEALTH CLINIC (BHC).
| 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.