MAN ALIVE TRANSITION HOUSE LLC


Address: 2649 Chesterfield Ave, Baltimore, MD 21213-1106
Phone: (410) 297-1560

MAN ALIVE TRANSITION HOUSE LLC (NPI# 1629506266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629506266
Entity Type Organization
Organization Name MAN ALIVE TRANSITION HOUSE LLC
Practice Address 2649 Chesterfield Ave
Baltimore
MD 21213-1106
Mailing Address 2649 Chesterfield Avenue
Baltimore
MD 21213
Practice Telephone (410) 297-1560
Mailing Telephone 4102971560
Enumeration Date 2017-05-26
Last Update Date 2017-05-26
Authorized Official Name MR. DARRIN NAVON ONEAL (OWNER/CEO)
Authorized Official Telephone 4102971560
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
N 251C00000X Day Training, Developmentally Disabled Services Agencies
N 251S00000X Community/Behavioral Health Agencies
N 251X00000X Supports Brokerage Agencies
N 253Z00000X In Home Supportive Care Agencies
N 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 320700000X Residential Treatment Facility, Physical Disabilities Residential Treatment Facilities
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 2649 CHESTERFIELD AVE
City BALTIMORE
State MD
Zip Code 21213-1106

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1609413186 Next Step Recovery LLC Clinic/Center 2649 Chesterfield Ave, Baltimore, MD 21213-1106 2019-12-04
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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1003459777 Walter Obi Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4201 Brookside Oaks, Owings Mills, MD 21117-5168 2019-10-24
1467093443 Richland Support Services Corp. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11551 Joyceton Drive, Upper Marlboro, MD 20774 2019-10-01
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Competitor

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City BALTIMORE
Zip Code 21213

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Dataset Information

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.

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