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POWELL RECOVERY CENTER
NPI 1043790595
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since August 15, 2018CLIA 21D2002690 · Accreditation
2913 WINCHESTER ST, BALTIMORE, MD 21216(410) 276-1773 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Powell Recovery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POWELL RECOVERY CENTER (NPI 1043790595) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since August 2018. The organization holds an CLIA Accreditation certificate valid through June 4, 2027 and lists Faythe Johnson, Vice President Billing, as its authorized official.

NPPES Registry Identity

NPI1043790595
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePOWELL RECOVERY CENTER
Location Address2913 WINCHESTER STBaltimore, MD 21216-4243
Mailing Address14 S BroadwayBaltimore, MD 21231-1712 · (410) 276-1773
Phone(410) 276-1773
Organization SubpartNo
Authorized OfficialFaythe JohnsonVice President Billing · (410) 276-1773
Enumeration DateAugust 15, 2018
✔ NPI 1043790595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2913 WINCHESTER ST, Baltimore, MD 21216
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 21D2002690

Powell Recovery Center Inc · Baltimore, MD
Active · expires Jun 4, 2027
CLIA Number21D2002690
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorDr. Patricia A. O'hora
Laboratory Phone(410) 276-1773
Laboratory LocationPowell Recovery Center Inc14 S Broadway, Baltimore, MD 21231
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Powell Recovery Center's NPI number?

The NPI number for Powell Recovery Center is 1043790595. It was assigned to this organization in the NPPES registry on August 15, 2018.

Where is Powell Recovery Center located?

Powell Recovery Center is located at 2913 Winchester St, Baltimore, MD 21216. The listed phone number is (410) 276-1773.

What is Powell Recovery Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Powell Recovery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 21D2002690) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Powell Recovery Center was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.