The House Of The Good Shepherd Of The City Of Baltimore in Baltimore - Residential Treatment Facility, Emotionally Disturbed Children
The House Of The Good Shepherd Of The City Of Baltimore - NPI 1508980251
The House Of The Good Shepherd Of The City Of Baltimore is a Residential Treatment Facility, Emotionally Disturbed Children in Baltimore, Maryland. The House Of The Good Shepherd Of The City Of Baltimore practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for The House Of The Good Shepherd Of The City Of Baltimore is 1508980251. The last update date is 2009-05-13.
The House Of The Good Shepherd Of The City Of Baltimore's current location address is 4100 Maple Avenue, Baltimore, Maryland. You can contact this provider via phone number 4102472770 and fax number 4102473242. The mailing address for The House Of The Good Shepherd Of The City Of Baltimore is 4100 Maple Avenue, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The House Of The Good Shepherd Of The City Of Baltimore |
|---|---|
| Address | 4100 Maple Avenue, Baltimore, Maryland |
| Phone Number | 4102472770 |
| Fax Number | 4102473242 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Boone A. Derrick |
| Credentials | PSY.D. |
| Telephone Number | 4102472770 |
NPI Number Detail
| NPI Number | 1508980251 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2009-05-13 |
Provider Mailing Address Detail
| Address | 4100 Maple Avenue |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212274007 |
| Phone Number | 4102472770 |
| Fax Number | 4102473242 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 03-049 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 427825900 | MD | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to The House Of The Good Shepherd Of The City Of Baltimore?
The The House Of The Good Shepherd Of The City Of Baltimore has been issued the NPI (National Provider Identifier) 1508980251 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where The House Of The Good Shepherd Of The City Of Baltimore's facilities are situated?
The facilities of The House Of The Good Shepherd Of The City Of Baltimore are physically located at the following address: 4100 Maple Avenue, Baltimore, MD, 212274007.
What is The House Of The Good Shepherd Of The City Of Baltimore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for The House Of The Good Shepherd Of The City Of Baltimore is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508980251 to The House Of The Good Shepherd Of The City Of Baltimore?
The Centers for Medicare & Medicaid Services originally issued the 1508980251 to The House Of The Good Shepherd Of The City Of Baltimore on 2007-03-19.
When was the information regarding The House Of The Good Shepherd Of The City Of Baltimore most recently updated?
The details pertaining to the The House Of The Good Shepherd Of The City Of Baltimore, including its address, specialty, and other relevant information, were last refreshed on 2009-05-13.