GRACE MEDICAL CENTER, INC. (NPI# 1407207020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407207020 |
Entity Type | Organization |
Organization Name | GRACE MEDICAL CENTER, INC. |
Other Organization Name | ADAPT CARES IOP |
Practice Address |
2401 W Baltimore St Baltimore MD 21223-2134 |
Mailing Address |
2000 W Baltimore St Baltimore MD 21223-1558 |
Practice Telephone | 4103623000 |
Mailing Telephone | 4103623000 |
Enumeration Date | 2016-06-24 |
Last Update Date | 2020-01-30 |
Authorized Official Name | REBECCA A ALTMAN (VP) |
Authorized Official Telephone | 4103623000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 282N00000X | General Acute Care Hospital | Hospitals | ||
Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units |
Other Name | Type Code |
---|---|
Adapt Cares - IOP | Doing Business As Name - Organization |
Adapt Cares IOP | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982996807 | Grace Medical Center, Inc. | Community/Behavioral Health | 6000 Metro Dr, Baltimore, MD 21215-3222 | 2011-05-11 |
1679718696 | Grace Medical Center, Inc. | General Acute Care Hospital | 2000 W Baltimore St Rm Ew333, Baltimore, MD 21223-1558 | 2008-12-04 |
1295954451 | Grace Medical Center, Inc. | Clinic/Center | 6000 Metro Dr Ste 110, Baltimore, MD 21215-3222 | 2007-04-25 |
1326265653 | Grace Medical Center, Inc. | Clinic/Center | 6000 Metro Drive, Baltimore, MD 21215-3222 | 2007-04-19 |
1851404933 | Grace Medical Center, Inc. | General Practice | 722 S Western Ave, Los Angeles, CA 90005-3112 | 2006-08-16 |
1962480772 | Grace Medical Center, Inc. | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2006-01-03 |
1922081231 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2005-11-22 |
1427694793 | Grace Medical Center, Inc. | Community/Behavioral Health | 6000 Metro Dr Ste 110, Baltimore, MD 21215-3222 | 2019-11-21 |
1336590868 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2016-06-27 |
1770934390 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2016-06-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GRACE MEDICAL CENTER, INC. | 2000 West Baltimore St, Baltimore, MD 21223-1558 |
Street Address |
2401 W BALTIMORE ST |
City | BALTIMORE |
State | MD |
Zip Code | 21223-2134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922081231 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2005-11-22 |
1063923126 | Bon Secours Hospital Baltimore, Inc | Social Worker | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2017-10-17 |
1336590868 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2016-06-27 |
1770934390 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2016-06-24 |
1750365607 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2005-12-05 |
1376526996 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2005-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649743972 | Dominique Olivier | Nurse Practitioner | Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 | 2019-01-09 |
1659858769 | Millicent Boa-amponsem | Registered Nurse | 907 Ramsay St, Baltimore, MD 21223 | 2018-07-20 |
1023527231 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 13-19 South Fulton Avenue, Baltimore, MD 21223 | 2017-09-20 |
1245766468 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 1208-10 James Street, Baltimore, MD 21223 | 2017-05-08 |
1750737599 | Natasia D Brown | Social Worker | 1501 W. Saratoga St., Baltimore, MD 21223 | 2016-05-11 |
1104298355 | Independence Foundation, Inc. | Community/Behavioral Health | 13 S. Carrollton Ave, Baltimore, MD 21223 | 2015-10-28 |
1588095087 | Jr Healthcare Associates Dba Baltimore Behavioral Health | Clinic/Center | 1101 W. Pratt St., Baltimore, MD 21223 | 2013-12-09 |
1639501448 | Behavioral Health Network LLC | Counselor | 1101 W. Pratt Street, Baltimore, MD 21223 | 2013-08-02 |
1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
1790060317 | Bestcare Pharmacy, Inc | Pharmacy | 3061 Frederick Avenue, Baltimore, MD 21223 | 2011-10-14 |
Find all providers in zip 21223 |
Taxonomy Code | 276400000X |
Grouping | Hospital Units |
Classification | Rehabilitation, Substance Use Disorder Unit |
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518435783 | Victoria's Place | Rehabilitation, Substance Use Disorder Unit | 1611 Kirkwood Rd, Baltimore, MD 21207-4937 | 2018-11-06 |
1528049384 | Valley Bridge House, Inc. | Rehabilitation, Substance Use Disorder Unit | 28 S Broadway, Baltimore, MD 21231-1712 | 2005-11-09 |
1841757127 | Unlimited Bounds Human Services LLC | Rehabilitation, Substance Use Disorder Unit | 11 E Mount Royal Ave Ste 2a, Baltimore, MD 21202-5513 | 2019-02-22 |
1578604146 | Ummc Intensive Outpatient Program | Rehabilitation, Substance Use Disorder Unit | 701 W Pratt St, Baltimore, MD 21201-1023 | 2007-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548736564 | Allen's House | Rehabilitation, Substance Use Disorder Unit | 219 Arundel Rd W, Brooklyn Park, MD 21225-2622 | 2018-10-17 |
1326521089 | Michael's Loft Residential Program | Rehabilitation, Substance Use Disorder Unit | 743 Old Riverside Rd, Brooklyn Park, MD 21225-2660 | 2018-09-10 |
1427539311 | Hilda's Place Behavioral Health Services | Rehabilitation, Substance Use Disorder Unit | 2480 Roxbury Mills Rd, Glenwood, MD 21738-9718 | 2018-08-28 |
1639686728 | The Haven At College | Rehabilitation, Substance Use Disorder Unit | 4321 Hartwick Rd Ste 210, College Park, MD 20740-3210 | 2018-01-10 |
1144402975 | Malcom Grow | Rehabilitation, Substance Use Disorder Unit | 711 Romford Dr, Hyattsville, MD 20785-5940 | 2007-12-04 |
1831383454 | Veterans Administeration | Rehabilitation, Substance Use Disorder Unit | 314 Ave D, Perry Point, MD 21902 | 2007-08-28 |
1225113061 | Addictions Recovery Inc | Rehabilitation, Substance Use Disorder Unit | 26 Marbury Rd, Crownsville, MD 21032 | 2006-10-26 |
1134635253 | Adventist Healthcare, Inc. | Rehabilitation, Substance Use Disorder Unit | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2017-12-27 |
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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.