GRANITE HOUSE, INC


Address: 288 E Green St, Westminster, MD 21157-5410
Phone: 4108763007

GRANITE HOUSE, INC (NPI# 1760408165) 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) 1760408165
Entity Type Organization
Organization Name GRANITE HOUSE, INC
Practice Address 288 E Green St
Westminster
MD 21157-5410
Practice Telephone 4108763007
Practice Fax Number 4107517797
Mailing Telephone 4108763007
Mailing Fax Number 4107517797
Enumeration Date 2006-07-15
Last Update Date 2007-08-08
Authorized Official Name MR. SPENCER L GEAR (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4108763007
Authorized Official Credential LCSW-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0400X Clinic/Center
Specialization: Rehabilitation
MD Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
MD Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MD AETNA 2095968 01
MD BLUE CROSS BLUE SHIELD FE T595 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265446496 Granite House, Inc Clinic/Center 288 E Green St, Prp, Westminster, MD 21157-5410 2006-07-27

Office Location

Street Address 288 E GREEN ST
City WESTMINSTER
State MD
Zip Code 21157-5410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922067438 Yusuke Sagawa Psychiatry & Neurology 288 E Green St, Westminster, MD 21157-5410 2006-03-22
1649871435 Kourtney Green Counselor 288 E Green St, Westminster, MD 21157-5410 2020-11-06
1306467428 Medly Baltimore Inc. Pharmacy 288 E Green St, Westminster, MD 21157-5410 2020-04-29
1114564143 Mosaic Community Services, Inc Clinic/Center 288 E Green St, Westminster, MD 21157-5410 2019-12-10
1225564552 Kyle Vincent Shuman Counselor 288 E Green St, Westminster, MD 21157-5410 2017-05-05
1841747987 Krystin Bartynski Social Worker 288 E Green St, Westminster, MD 21157-5410 2016-09-07
1871965871 Mosaic Community Services, Inc. Clinic/Center 288 E Green St, Westminster, MD 21157-5410 2015-10-29
1932455888 Carlie Belt Counselor 288 E Green St, Westminster, MD 21157-5410 2012-07-30
1295006906 Whitney Thompson Counselor 288 E Green St, Westminster, MD 21157-5410 2012-01-26
1699045567 Susan Alberta Vanderhoff Social Worker 288 E Green St, Westminster, MD 21157-5410 2012-01-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013523083 Krista Stanzione Counselor 10 Distillery Drive, Ste 200, Westminster, MD 21157 2020-09-16
1487263893 Jordan Butler Counselor Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 2020-07-31
1558920991 Ashton Nicole Burnham Social Worker 10 Distillery Dr Suite 200, Westminster, MD 21157 2019-06-10
1265903173 Kathy Denise Omara Speech-Language Pathologist 125 North Court Street, Westminster, MD 21157 2018-12-17
1013419837 Ericka M Walters Social Worker 77-81 E. Main Street, Suite 406, Westminster, MD 21157 2018-03-07
1982146353 Access Carroll, LLC Clinic/Center 10 Distillery Drive, Suite 200, Westminster, MD 21157 2016-11-16
1619327293 Bh Brightview Westminster Ridge Opco, LLC Alzheimer Center (Dementia Center) 505 High Acre Drive, Westminster, MD 21157 2016-06-15
1710362926 Laura Coulter Social Worker 280 E Main St Ste 202, Westminster, MD 21157 2015-07-29
1205213436 Carroll County Health Department Public Health or Welfare 290 S. Center Street, Westminster, MD 21157 2015-04-27
1972990489 Ivy Smink Registered Nurse 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 2015-04-22
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851912513 Hilda's Place Behavioral Health Organization Clinic/Center 684 Poole Rd, Westminster, MD 21157-6171 2020-05-04
1982869244 Associated Catholic Charities Clinic/Center 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 2008-07-25
1871669721 Carroll County Youth Service Bureau, Inc. Clinic/Center 59 Kate Wagner Rd., Westminster, MD 21157 2006-11-24
1558831602 Quest Counseling Services LLC Clinic/Center 8461 Turnpike Dr Ste 207, Westminster, CO 80031-4379 2018-12-02
1194220467 Family and Childrens Services of Central Maryland Inc Clinic/Center 22 N Court St, Westminster, MD 21157-5110 2018-03-28
1659800142 Access Carroll, Inc. Clinic/Center 10 Distillery Rd Ste 200, Westminster, MD 21157-5344 2017-06-08
1770980245 Genesis Treatment Services Clinic/Center 1106 Business Pkwy S, Ste B, Westminster, MD 21157-3054 2014-12-01
1104188986 Associated Catholic Charities, Inc Clinic/Center 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 2012-06-08
1679860381 Carroll County Youth Service Bureau Inc: Court Street Services Clinic/Center 98 N Court St, Westminster, MD 21157-9300 2011-07-01
1124322342 Associated Catholic Charities, Inc Clinic/Center 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 2011-01-03
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Competitor

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City WESTMINSTER
Zip Code 21157

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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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