MARYLAND COMMUNITY HEALTH INITIATIVES, INC. (NPI# 1457802753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457802753 |
| Entity Type | Organization |
| Organization Name | MARYLAND COMMUNITY HEALTH INITIATIVES, INC. |
| Other Organization Name | PENN NORTH |
| Practice Address |
2404 Pennsylvania Ave Baltimore MD 21217-1722 |
| Practice Telephone | 4107282080 |
| Practice Fax Number | 4107282038 |
| Mailing Telephone | 4107282080 |
| Mailing Fax Number | 4107282038 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | WILLIAM BROOKS (CEO) |
| Authorized Official Telephone | 4107282080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 404876800 | 05 |
| Other Name | Type Code |
|---|---|
| Penn North | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817075 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
| 1598756736 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2410 Pennsylvania Ave, Suite 200, Baltimore, MD 21217-1722 | 2005-11-04 |
| Street Address |
2404 PENNSYLVANIA AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21217-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558650739 | Emmanuel Saturnin Francois | Surgery | 2404 Pennsylvania Ave, Baltimore, MD 21217-1722 | 2011-03-29 |
| 1851763858 | Associated Medical Clinics, Inc. | Chiropractor | 2404 Pennsylvania Ave, Baltimore, MD 21217-1722 | 2015-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979500 | Jia K Allen | Pharmacist | 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 | 2018-11-01 |
| 1982186102 | Family First Home Care LLC | In Home Supportive Care | 1645 N Calhoun St Apt 205, Baltimore, MD 21217 | 2018-09-04 |
| 1821598616 | Organizational Pathways, LLC | Counselor | 2306 Mount Royal Ter Apt 1a, Baltimore, MD 21217 | 2018-02-18 |
| 1881131308 | Domonique Matthews | Registered Nurse | 1515 W. North Ave, 1st Floor, Baltimore, MD 21217 | 2017-01-23 |
| 1992121982 | Dorren Rennes | Counselor | 2350 Eutaw Place, Baltimore, MD 21217 | 2014-03-14 |
| 1437498615 | Care One Pharmacy Ltc/specialty Pharmacy | Pharmacy | 2277-2279 Reisterstown Road, Baltimore, MD 21217 | 2013-02-07 |
| 1790023448 | Adeola Titilayo Adefioye | Registered Nurse | 922-924 W. North Avenue, Total Health Care - True Health, Baltimore, MD 21217 | 2013-01-30 |
| 1912274150 | Total Health Care Inc. | Community/Behavioral Health | 5101 Division Street, Baltimore, MD 21217 | 2011-11-16 |
| 1386816395 | Kennedy Krieger Education and Communication | Social Worker | 1311 N. Gilmor St., Gilmore School, Baltimore, MD 21217 | 2008-03-31 |
| 1740452762 | Kennedy Krieger Education and Communication | Social Worker | 1200 Pennsylvania Ave., Furman L. Templeton, Baltimore, MD 21217 | 2008-03-31 |
| Find all providers in zip 21217 | ||||
| Taxonomy Code | 261QR0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Recovery Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902437916 | The Light of Truth Center | Clinic/Center | 1736 N Payson St, Baltimore, MD 21217-1134 | 2020-01-29 |
| 1790326304 | Process of Changes | Clinic/Center | 1000 Ingleside Ave Fl 1, Baltimore, MD 21228-1317 | 2019-10-04 |
| 1609413186 | Next Step Recovery LLC | Clinic/Center | 2649 Chesterfield Ave, Baltimore, MD 21213-1106 | 2019-12-04 |
| 1427432350 | Northern Parkway Treatment Services, Inc. | Clinic/Center | 3007 E Northern Pkwy, Baltimore, MD 21214-1419 | 2015-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356990501 | Transformcare, Inc | Clinic/Center | 7811 Montrose Rd Ste 410, Potomac, MD 20854-3347 | 2019-09-10 |
| 1285912352 | Healthways | Clinic/Center | 11908 Maher Dr, Fort Washington, MD 20744-5938 | 2011-07-23 |
| 1275155491 | Hilda's Place Behavioral Health Organization | Clinic/Center | 684 Poole Rd Ste C, Westminster, MD 21157-6172 | 2020-05-11 |
| 1285256404 | Hilda's Place Behavioral Health Organization,inc | Clinic/Center | 2480 Roxbury Mills Rd, Glenwood, MD 21738-9718 | 2020-05-11 |
| 1134755960 | Gemini Health Holdings LLC | Clinic/Center | 6816 Deerpath Rd, Suite 201 and 107, Elkridge, MD 21075 | 2020-03-12 |
| 1023537800 | Secondchance Recovery House LLC | Clinic/Center | 1410 Crain Hwy N Ste 5b, Glen Burnie, MD 21061-9304 | 2017-09-13 |
| 1689072803 | Bh Health Services, Inc. | Clinic/Center | 450 E Main St, Westminster, MD 21157-5540 | 2014-12-22 |
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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.