PEACEFUL MINDS RESIDENTIAL SERVICES (NPI# 1568073815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568073815 |
| Entity Type | Organization |
| Organization Name | PEACEFUL MINDS RESIDENTIAL SERVICES |
| Practice Address |
2733 Ashland Ave Baltimore MD 21205-1734 |
| Mailing Address |
3704 S Hanover St Unit 2a2b Baltimore MD 21225-1773 |
| Practice Telephone | 4434187064 |
| Mailing Telephone | 4437598601 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | MRS. JANEE SPENCER5 (CEO) |
| Authorized Official Telephone | 4437598601 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2733 Ashland Ave, Baltimore, MD 212051734 | 4434187064 | |
| 3704 S Hanover St Unit 2a2b, Baltimore, MD 212251773 | 4434187064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697640 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St, Baltimore, MD 21225-1773 | 2020-10-22 |
| 1215548573 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St Unit 2a2b, Baltimore, MD 21225-1773 | 2020-08-11 |
| 1316546823 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St, Baltimore, MD 21225-1773 | 2020-10-26 |
| Street Address |
2733 ASHLAND AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21205-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019034 | Meghna Rajaprakash | Student in an Organized Health Care Education/Training Program | 716 N Broadway, Rm 431, Baltimore, MD 21205 | 2019-05-20 |
| 1871158592 | Rachel Samantha Bronheim | Student in an Organized Health Care Education/Training Program | 610 N Caroline St, 5th Floor, Baltimore, MD 21205 | 2019-05-08 |
| 1700342250 | Ruth Leeanna Williams | Social Worker | 504 N. Caroline Street, Baltimore, MD 21205 | 2019-02-20 |
| 1174017032 | Anna Kathryn Chassevent | Genetic Counselor, MS | 801 N. Broadway, Baltimore, MD 21205 | 2018-06-14 |
| 1588115653 | Redeem Healthcare and Medical System Inc | Case Management | 917 North Caroline Street, Baltimore, MD 21205 | 2016-10-24 |
| 1013334929 | Crystal Diane Salcido | Psychiatry & Neurology | 855 N Wolfe St Ste 300, Baltimore, MD 21205 | 2014-03-28 |
| 1487088464 | Laura Mitchell | Nurse Practitioner | 707 N. Broadway Ave, Baltimore, MD 21205 | 2013-08-27 |
| 1477992410 | Ferbet Take Care Health Maryland, P.C. | Nurse Practitioner | 900 N. Washington Street, Baltimore, MD 21205 | 2013-06-24 |
| 1225370570 | Amena Smith Fine | Pediatrics | Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205 | 2013-03-25 |
| 1356695993 | Kalpana Prasad | Student in an Organized Health Care Education/Training Program | 800 North Wolfe St., John G. Rangos, Sr. Building, Room 248, 2nd Floor, Baltimore, MD 21205 | 2012-11-05 |
| Find all providers in zip 21205 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134692320 | Passionate Hands Transitional Housing | Community Based Residential Treatment Facility, Mental Illness | 3507 W Rogers Ave, Baltimore, MD 21215-4742 | 2019-01-10 |
| 1548733868 | Passionate Hands Transitional Housing | Community Based Residential Treatment Facility, Mental Illness | 5201 Cuthbert Ave, Baltimore, MD 21215-5024 | 2019-01-09 |
| 1124591680 | The Johns Hopkins Hospital | Community Based Residential Treatment Facility, Mental Illness | 601 E Chase St, Baltimore, MD 21202-4208 | 2019-01-08 |
| 1023528304 | Passionate Hands Transitional Housing | Community Based Residential Treatment Facility, Mental Illness | 5203 Cuthbert Ave, Baltimore, MD 21215-5024 | 2017-10-02 |
| 1528290103 | Dayspring Programs, Inc | Community Based Residential Treatment Facility, Mental Illness | 1200 N Collington Ave, Baltimore, MD 21213-3313 | 2009-08-17 |
| 1245268309 | Volunteers of America Chesapeake Inc | Community Based Residential Treatment Facility, Mental Illness | 1825 Woodlawn Drive, #202, Baltimore, MD 21205-3003 | 2006-06-29 |
| 1467079954 | Tru Luv Management Lc | Community Based Residential Treatment Facility, Mental Illness | 1618 Sherwood Ave, Baltimore, MD 21239-2410 | 2020-06-30 |
| 1992320261 | Transformation Healthcare Inc. | Community Based Residential Treatment Facility, Mental Illness | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1273 | 2020-06-12 |
| 1982237491 | Citywide Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 17 Warren Rd Ste 20b, Baltimore, MD 21208-5334 | 2020-02-13 |
| 1356876379 | Carmelita's Cherubs | Community Based Residential Treatment Facility, Mental Illness | 6310 Greenspring Ave, 303, Baltimore, MD 21209-5500 | 2017-04-27 |
| 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.