1033573050 NPI number — HEALTH CARE FOR THE HOMELESS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033573050 NPI number — HEALTH CARE FOR THE HOMELESS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH CARE FOR THE HOMELESS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033573050
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
421 FALLSWAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21202-4800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-837-5533
Provider Business Mailing Address Fax Number:
410-837-8020

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 W BALTIMORE ST
Provider Second Line Business Practice Location Address:
SUITE 247
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21223-1558
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-703-1400
Provider Business Practice Location Address Fax Number:
443-863-6661
Provider Enumeration Date:
04/06/2016

Additional Information

Authorized Official

Authorized Official Last Name:
LINDAMOOD
Authorized Official First Name:
KEVIN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
410-837-5533

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223G0001X , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 383841200 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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