PHR OF BALTIMORE, INC.
NPI 1164606406
Home Health in Baltimore, MD
- Organization
- Home Health
- CLIA Number: 21D0691133
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 08-31-2026
About PHR OF BALTIMORE, INC.
This page provides the complete NPI Profile along with additional information for Phr Of Baltimore, Inc., a provider established in Baltimore, Maryland operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1164606406 assigned on December 2007. The practitioner's primary taxonomy code is 251E00000X with license number 217036 (MD). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Brian Clemens (Vp - Finance)
- NPI
- 1164606406 Verify this NPI
- Provider Name
- PHR OF BALTIMORE, INC.
- Entity Type
- Organization
- Location Address
- 1501 S EDGEWOOD ST SUITE A BALTIMORE, MD 21227
- Location Phone
- (410) 368-2825
- Mailing Address
- 7619 LITTLE RIVER TPKE SUITE 600 ANNANDALE, VA 22003
- Mailing Phone
- (703) 752-8700
- Mailing Fax
- (703) 752-8719
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2007
- Last Update Date
- 02-27-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- License No.
- 217036
- License State
- MD
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 217036 | MEDICARE OSCAR/CERTIFICATION (06) | MD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D0691133
- Facility Type
- Home Health Agency
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- SHARON MC CORMACK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Phr Of Baltimore, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164606406, enumerated as an "organization" on December 21, 2007.
The provider is located at 1501 S EDGEWOOD ST SUITE A BALTIMORE, MD 21227 and the phone number is (410) 368-2825.
Home Health with taxonomy code 251E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
