PORT RECOVERY IOP INC. (NPI# 1588926216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588926216 |
| Entity Type | Organization |
| Organization Name | PORT RECOVERY IOP INC. |
| Practice Address |
7000 Harford Rd Baltimore MD 21234-7704 |
| Mailing Address |
8615 Ridgelys Choice Dr Ste 205 Nottingham MD 21236-3028 |
| Practice Telephone | 4438694909 |
| Practice Fax Number | 4438694928 |
| Mailing Telephone | 4105348735 |
| Mailing Fax Number | 4105348737 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2019-04-14 |
| Authorized Official Name | JOANNE GRANRUTH (OWNER) |
| Authorized Official Telephone | 4105348735 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 680402100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733858 | Port Recovery Iop Inc. | Clinical Medical Laboratory | 8615 Ridgelys Choice Dr Ste 205, Nottingham, MD 21236-3028 | 2019-04-14 |
| 1578026464 | Port Recovery Iop Inc. | Counselor | 8615 Ridgelys Choice Dr Ste 205, Nottingham, MD 21236-3028 | 2019-04-09 |
| 1528522901 | Port Recovery Iop Inc. | Clinic/Center | 8615 Ridgelys Choice Dr Ste 205, Nottingham, MD 21236-3028 | 2019-01-30 |
| 1598234601 | Port Recovery Iop Inc. | Counselor | 8615 Ridgelys Choice Dr Ste 205, Nottingham, MD 21236-3028 | 2018-11-19 |
| Street Address |
7000 HARFORD RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21234-7704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417344185 | Sandra Leu Gallagher | Social Worker | 7000 Harford Rd, Baltimore, MD 21234-7704 | 2015-04-21 |
| 1770834194 | Phyllis Elizabeth Schech | Counselor | 7000 Harford Rd, Baltimore, MD 21234-7704 | 2012-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331934 | Nkechi Patricia Jiabana | Nurse Practitioner | 8511 Harford Road, Parkville, MD 21234 | 2020-09-17 |
| 1720604721 | Margaret Jackson | Licensed Practical Nurse | 2 Farmington Ct, Apt J, Parkville, MD 21234 | 2020-06-25 |
| 1225671936 | Center for Creative Values, Inc | Clinic/Center | 8110 Harford Road Suite B, Parkville, MD 21234 | 2019-10-25 |
| 1598267072 | Beyond This Day Behavioral Health | Counselor | 7231 Harford Rd., Baltimore, MD 21234 | 2018-03-01 |
| 1720587454 | Susan Parvis Cheek | Psychologist | 3501 Taylor Av, Baltimore, MD 21234 | 2018-02-08 |
| 1821507823 | Dionna Marcia Joseph | Counselor | 8646 Hoerner Avenue, Parkville, MD 21234 | 2017-09-22 |
| 1023536323 | Marquita Johnson | Home Health Aide | 2245 Pentland Dr Apt A, Parkville, MD 21234 | 2017-09-07 |
| 1538687140 | E & T Healthcare Enterprise | Nurse Practitioner | 8113 Hartford Road, Baltimore, MD 21234 | 2017-09-04 |
| 1295252278 | Amelia Ruth Anthony | Social Worker | 6802 Mcclean Blvd., Baltimore, MD 21234 | 2017-08-29 |
| 1184175440 | Black Nurses Rock - Baltimore. Md Chapter | Preferred Provider Organization | 7017 Hamlet Avenue, Parkville, MD 21234 | 2016-10-20 |
| Find all providers in zip 21234 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091522 | Choices Integrated Healthcare | Counselor | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-22 |
| 1730791609 | Tony C Shaw | Counselor | 2814 W Garrison Ave, Baltimore, MD 21215-5335 | 2020-08-20 |
| 1023628849 | Delores Jordan | Counselor | 2640 Oswego Ave, Baltimore, MD 21215-7037 | 2020-08-06 |
| 1144838277 | Guiding Lives | Counselor | 6305 Belair Rd, Baltimore, MD 21206-1817 | 2020-07-15 |
| 1750908943 | New Life Services LLC. | Counselor | 3600 W Mulberry St, Baltimore, MD 21229-2928 | 2020-07-03 |
| 1801413422 | Karena Tinika Lee | Counselor | 1336 Homestead St, Baltimore, MD 21218-3624 | 2020-06-30 |
| 1578189668 | Chenelle Gould | Counselor | 4018 Elmora Ave, Baltimore, MD 21213-2120 | 2020-06-24 |
| 1811513625 | Ebony Michelle Johnson | Counselor | 2808 Carver Rd, Baltimore, MD 21225-1312 | 2020-06-18 |
| 1992321798 | Robert Murray | Counselor | 1703 Windemere Ave, Baltimore, MD 21218-3029 | 2020-06-18 |
| 1629694591 | Natale Fiumara | Counselor | 821 N Eutaw St Ste 201, Baltimore, MD 21201-6301 | 2020-06-17 |
| 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.