TUERK HOUSE INC (NPI# 1588120059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588120059 |
| Entity Type | Organization |
| Organization Name | TUERK HOUSE INC |
| Practice Address |
9876 Clarksville Pike Ellicott City MD 21042-6310 |
| Mailing Address |
730 N Ashburton St Baltimore MD 21216-4703 |
| Practice Telephone | 4104675291 |
| Mailing Telephone | 4102330684 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | VANESSA LYLE (BILLING SPECIALIST) |
| Authorized Official Telephone | 4104675291 |
| Is Organization Subpart | Y |
| Parent Organization Name | TUERK HOUSE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BHA | BH001319 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573270 | Tuerk House Inc | Nurse Practitioner | 730 N Ashburton St, Baltimore, MD 21216-4703 | 2020-06-17 |
| 1235764200 | Tuerk House Inc | Substance Abuse Rehabilitation Facility | 730 N Ashburton St, Baltimore, MD 21216-4703 | 2020-03-10 |
| 1255976874 | Tuerk House Inc | Family Medicine | 730 N Ashburton St, Baltimore, MD 21216-4703 | 2019-11-07 |
| 1609343219 | Tuerk House Inc | Community/Behavioral Health | 5665 Purdue Ave, Baltimore, MD 21239-2802 | 2018-11-01 |
| 1801379094 | Tuerk House Inc | Substance Abuse Rehabilitation Facility | 4100 College Ave, Ellicott City, MD 21043-5506 | 2018-09-13 |
| 1528541711 | Tuerk House Inc | Substance Abuse Rehabilitation Facility | 2523 Maryland Ave, Baltimore, MD 21218-4511 | 2018-09-13 |
| 1386086361 | Tuerk House Inc | Community Based Residential Treatment Facility, Mental Illness | 730 N Ashburton St, Baltimore, MD 21216-4703 | 2013-07-19 |
| Street Address |
9876 CLARKSVILLE PIKE |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245638683 | Jael Health Services, Inc. | Substance Abuse Rehabilitation Facility | 10176 Baltimore National Pike Ste 115, Ellicott City, MD 21042-3651 | 2014-12-17 |
| 1801379094 | Tuerk House Inc | Substance Abuse Rehabilitation Facility | 4100 College Ave, Ellicott City, MD 21043-5506 | 2018-09-13 |
| 1992107726 | Tuerk House, Inc. | Substance Abuse Rehabilitation Facility | 4100 College Ave, Ellicott City, MD 21043-5506 | 2014-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151066 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 486 Lincoln Dr, Glen Burnie, MD 21060-8706 | 2020-10-15 |
| 1841898434 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 394 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-15 |
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 2020-10-12 |
| 1801494984 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8315 Veterans Hwy, Millersville, MD 21108-1421 | 2020-10-12 |
| 1124626296 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 390 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-12 |
| 1457968984 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 22 S Broadway, Baltimore, MD 21231-1711 | 2020-09-29 |
| 1356956676 | The Elysian Fields Optimum Wellness and Mental Health Group, LLC | Substance Abuse Rehabilitation Facility | 2901 Erdman Ave, Baltimore, MD 21213-1139 | 2020-09-14 |
| 1134731284 | Serenity Keepers of Maryland LLC | Substance Abuse Rehabilitation Facility | 3645 Cottage Ave, Baltimore, MD 21215-7725 | 2020-08-20 |
| 1255949392 | Champ House Recovery Inc. | Substance Abuse Rehabilitation Facility | 8655 Normal School Rd, Bowie, MD 20715-3326 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
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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.