Issaiah House Inc

LBN: Issaiah House Inc
Issaiah House Inc is an health care organization with primary practice located at 919 Calwell Rd , Baltimore MD 21229-5006. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Issaiah House Inc can be contacted via phone (443) 882-1943, or through Braxton, Darryl via phone (443) 882-1943.

Contact Information

Primary practice address
919 Calwell Rd Baltimore MD 21229-5006
Phone: (443) 882-1943
Fax: (410) 558-6222
Website:
Map and Directions
Authorized official contact:
Name: Braxton, Darryl LCPC
Phone: (443) 882-1943

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1518563022
LBN Legal business name Issaiah House Inc
DBA Doing business as
Authorized official Braxton, Darryl LCPC
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 9th, 2020
Last updated Jan 7th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518563022 NPPES
Maryland MEDICAID 160026500

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