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WINCHESTER HEALTH LLC
NPI 1053801951
Clinic/Center - Methadone in Baltimore, MD

Active since May 16, 2018CLIA 21D2156388 · Waiver
1315 BLOOMINGDALE RD, BALTIMORE, MD 21216(410) 484-8500 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2024, Mar 16, 2023, Oct 10, 2018 and 2 more (5 updates tracked since 2018).

About Winchester Health Llc NPPES

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

WINCHESTER HEALTH LLC (NPI 1053801951) is a healthcare organization registered as a methadone in Baltimore, Maryland and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through October 16, 2026 and lists Amiel Chicheportiche, Director, as its authorized official.

NPPES Registry Identity

NPI1053801951
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameWINCHESTER HEALTH LLC
Location Address1315 BLOOMINGDALE RDBaltimore, MD 21216-3922
Mailing Address2833 Smith Ave Ste 148Baltimore, MD 21209-1426 · (410) 624-7111
Phone(410) 484-8500
Organization SubpartNo
Authorized OfficialAmiel ChicheporticheDirector · (410) 258-8939
Enumeration DateMay 16, 2018
Last NPPES UpdateDecember 3, 20245 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1053801951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1315 BLOOMINGDALE RD, Baltimore, MD 21216
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Other Identifiers 1

MedicaidBH001216MD

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 Waiver 21D2156388

Winchester Health LLC · Baltimore, MD
Active · expires Oct 16, 2026
CLIA Number21D2156388
Laboratory TypeOpiod Treatment Program
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorMohammed G. Kiddugavu MD
Laboratory Phone(443) 630-2707
Laboratory LocationWinchester Health LLC1315 Bloomingdale Road, Baltimore, MD 21216
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
915 services34 patients
Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077
Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.
299 services32 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
196 services19 patients
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) G2074
Medication Assisted Treatment is a comprehensive program for managing substance use. It includes counseling (both individual and group), along with regular toxicology testing if required. This service is provided by a Medicare-enrolled opioid treatment program.
78 services16 patients
Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a G2076
Intake activities involve a comprehensive medical examination and initial assessment. This is carried out by a program physician, a primary care doctor, or a qualified healthcare professional under their oversight. The process helps to understand your current health status and identify any potential health issues.
18 services18 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WINCHESTER HEALTH LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1315 BLOOMINGDALE RD
BALTIMORE, MD 21216
Baltimore City (410) 484-8500
WINCHESTER HEALTH LLC
Community/Behavioral Health
1315 BLOOMINGDALE RD
BALTIMORE, MD 21216
Baltimore City (410) 624-7111
WINCHESTER HEALTH LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1315 BLOOMINGDALE RD
BALTIMORE, MD 21216
Baltimore City (410) 624-7111

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 Winchester Health LLC's NPI number?

The NPI number for Winchester Health LLC is 1053801951. It was assigned to this organization in the NPPES registry on May 16, 2018.

Where is Winchester Health LLC located?

Winchester Health LLC is located at 1315 Bloomingdale Rd, Baltimore, MD 21216. The listed phone number is (410) 484-8500.

What is Winchester Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Winchester Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2156388) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Winchester Health LLC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.