MISHA HOUSE, LLC
NPI 1164883344
Clinic/Center - Rehabilitation, Substance Use Disorder in Baltimore, MD

NPI Status: Active since March 15, 2016

Contact Information

2300 GARRISON BLVD
SUITE 120
BALTIMORE, MD
ZIP 21216
Phone: (443) 708-3054
Fax: (443) 708-4402

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 21D2124079
  • CLIA Cert. Type: Other - MENTAL HEALTH RECOVERY
  • CLIA Exp. Date: 01-09-2027

About MISHA HOUSE, LLC

This page provides the complete NPI Profile along with additional information for Misha House, Llc, a provider established in Baltimore, Maryland operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1164883344 assigned on March 2016. The practitioner's primary taxonomy code is 261QR0405X with license number 261QR0405X (MD). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mrs. Monica White Ms, Cac-ad (Executive Director)

NPI
1164883344
Provider Name
MISHA HOUSE, LLC
Entity Type
Organization
Location Address
2300 GARRISON BLVD SUITE 120 BALTIMORE, MD 21216
Location Phone
(443) 708-3054
Location Fax
(443) 708-4402
Mailing Address
2300 GARRISON BLVD SUITE 120 BALTIMORE, MD 21216
Mailing Phone
(443) 708-3054
Mailing Fax
(443) 708-4402
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2016
Last Update Date
10-19-2023
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
261QR0405X
License State
MD

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MONICA WHITE MS, CAC-AD

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(443) 708-3054

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
21D2124079
Facility Type
Other - MENTAL HEALTH RECOVERY
Certificate Effective Date
January 10, 2025
Certificate Expiration Date
January 09, 2027
Laboratory Director
JANAY TAYLOR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Misha House, Llc 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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164883344, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 6 + 8 + 6 + 3 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1164883344.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
2300 GARRISON BLVD, SUITE 220 B
BALTIMORE, MD 21216
Internal Medicine
2300 GARRISON BLVD, SUITE 105
BALTIMORE, MD 21216
Specialist
2300 GARRISON BLVD, SUITE 280
BALTIMORE, MD 21216
Physical Therapist
2300 GARRISON BLVD, SUITE 190
BALTIMORE, MD 21216
Durable Medical Equipment & Medical Supplies
2300 GARRISON BLVD, STE. 210
BALTIMORE, MD 21216
Pharmacy (Community/Retail Pharmacy)
2300 GARRISON BLVD, STE 209
BALTIMORE, MD 21216
Home Health
2300 GARRISON BLVD, #106
BALTIMORE, MD 21216
Clinic/Center (Ambulatory Surgical)
2300 GARRISON BLVD, 107 GARWYN UROLOGICAL CENTER
BALTIMORE, MD 21216
Pediatrics
2300 GARRISON BLVD, #202
BALTIMORE, MD 21216
Physical Therapist
2300 GARRISON BLVD, SUITE 190
BALTIMORE, MD 21216
Specialist
2300 GARRISON BLVD, SUITE 280
BALTIMORE, MD 21216
Psychiatry & Neurology (Psychiatry)
2300 GARRISON BLVD, SUITE 200
BALTIMORE, MD 21216
Physical Therapist
2300 GARRISON BLVD, SUITE 190
BALTIMORE, MD 21216
Social Worker
2300 GARRISON BLVD, SIOTE 200
BALTIMORE, MD 21216
Social Worker
2300 GARRISON BLVD, SUITE 104
BALTIMORE, MD 21216
Social Worker
2300 GARRISON BLVD, SUITE 104
BALTIMORE, MD 21216
Social Worker (Clinical)
2300 GARRISON BLVD
BALTIMORE, MD 21216
Clinic/Center (Primary Care)
2300 GARRISON BLVD, SUITE 200
BALTIMORE, MD 21216
Pharmacist
2300 GARRISON BLVD, STE 200
BALTIMORE, MD 21216
Nurse Practitioner (Family)
2300 GARRISON BLVD
BALTIMORE, MD 21216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164883344, enumerated as an "organization" on March 15, 2016.

The provider is located at 2300 GARRISON BLVD SUITE 120 BALTIMORE, MD 21216 and the phone number is (443) 708-3054.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.