1366992240 NPI number — BUILDING COMMUNITIES TODAY FOR TOMORROW, 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 1366992240 NPI number — BUILDING COMMUNITIES TODAY FOR TOMORROW, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BUILDING COMMUNITIES TODAY FOR TOMORROW, 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:
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:
1366992240
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/04/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2901 DRUID PARK DR
Provider Second Line Business Mailing Address:
A207
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21215-8102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2901 DRUID PARK DR
Provider Second Line Business Practice Location Address:
A207
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21215-8102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-467-6600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2016

Additional Information

Authorized Official

Authorized Official Last Name:
TUCKER
Authorized Official First Name:
CEDRIC
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
410-467-6600

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , with the licence number:  400975400 , 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: 400975400 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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