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CCG MANAGEMENT, LLC
NPI 1063942563
Lodging in Baltimore, MD

Active since June 16, 2017CLIA Certified · 2 labs
420 E LORRAINE AVE, BALTIMORE, MD 21218(410) 617-0142(443) 873-6975 Get Directions Write a Review

NPPES record last updated: June 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ccg Management, Llc NPPES

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

CCG MANAGEMENT, LLC (NPI 1063942563) is a healthcare organization registered as a lodging in Baltimore, Maryland and active in the NPI registry since June 2017. The organization holds 2 active CLIA laboratory certificates and lists Barbara Wahl, Coo, as its authorized official.

NPPES Registry Identity

NPI1063942563
Entity TypeOrganization
Primary Taxonomy177F00000X
Legal Business NameCONCERTED CARE GROUP MANAGEMENT LLC
Location Address420 E LORRAINE AVEBaltimore, MD 21218-4712
Mailing Address428 E 25th StBaltimore, MD 21218-5304 · (410) 617-0142 · Fax (443) 873-6975
Phone(410) 617-0142
Fax(443) 873-6975
Organization SubpartNo
Authorized OfficialBarbara WahlCoo · (667) 239-3205
Enumeration DateJune 16, 2017
✔ NPI 1063942563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLodgingOther Service Providers
Taxonomy Code177F00000X
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
420 E LORRAINE AVE, Baltimore, MD 21218
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Other Names 1

Doing Business AsCcg Management, Llc

CLIA Laboratory Certificates CMS CLIA 2

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 21D2090256

Concerted Care Group, Llc- Baltimore · Baltimore, MD
Active · expires Jan 19, 2027
CLIA Number21D2090256
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorErika Kane MD
Laboratory Phone(410) 619-0142
Laboratory LocationConcerted Care Group, Llc- Baltimore428 E 25th Street, Baltimore, MD 21218
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2144124

Concerted Care Group - Frederick · Frederick, MD
Active · expires Feb 11, 2028
CLIA Number21D2144124
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorErika Kane
Laboratory Phone(410) 617-0142
Laboratory LocationConcerted Care Group - Frederick92 Thomas Johnson Drive Suite 100, Frederick, MD 21702
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Concerted Care Group Management LLC's NPI number?

The NPI number for Concerted Care Group Management LLC is 1063942563. It was assigned to this organization in the NPPES registry on June 16, 2017. The provider is doing business as Ccg Management, LLC.

Where is Concerted Care Group Management LLC located?

Concerted Care Group Management LLC is located at 420 E Lorraine Ave, Baltimore, MD 21218. The listed phone number is (410) 617-0142.

What is Concerted Care Group Management LLC's specialty?

The primary specialty registered for this NPI is Lodging with taxonomy code 177F00000X.

Does Concerted Care Group Management LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Concerted Care Group Management LLC was last updated on June 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.