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MAN ALIVE, INC.
NPI 1255312203
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Baltimore, MD

Active since November 08, 2005CLIA 21D2057588 · Waiver
2117 MARYLAND AVE, BALTIMORE, MD 21218(410) 837-4292(410) 837-0639 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Man Alive, Inc. NPPES

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

MAN ALIVE, INC. (NPI 1255312203) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Baltimore, Maryland and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Karen Reese, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1255312203
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameMAN ALIVE, INC.
Location Address2117 MARYLAND AVEBaltimore, MD 21218-5614
Mailing Address2117 Maryland AveBaltimore, MD 21218-5614 · (410) 837-4292 · Fax (410) 837-0639
Phone(410) 837-4292
Fax(410) 837-0639
Organization SubpartNo
Authorized OfficialKaren ReeseExecutive Director · (410) 837-4292
Enumeration DateNovember 8, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255312203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
License✔ Licensed in MD · 900128
2117 MARYLAND AVE, Baltimore, MD 21218
Open in Google Maps ↗

Other Identifiers 1

Other57387001MD · Carefirst Bcbs

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 21D2057588

Man Alive Inc · Baltimore, MD
Active · expires Apr 18, 2027
CLIA Number21D2057588
Laboratory TypeOpioid Treatment Prog
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorUgandhar Vemulapalli
Laboratory Phone(410) 837-4292
Laboratory LocationMan Alive Inc2117 Maryland Avenue, Baltimore, MD 21218
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.
3,230 services83 patients

Other Providers at the Same Location NPPES 18

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

JEFFREY MICHAEL GALECKI LCPC
Counselor (Mental Health)
2117 MARYLAND AVE
BALTIMORE, MD 21218
Baltimore City (443) 449-2932
LANE TREATMENT CENTER, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2117 MARYLAND AVE, SUITE 400
BALTIMORE, MD 21218
Baltimore City (410) 244-7350
LANE TREATMENT CENTER, LLC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
2117 MARYLAND AVE, SUITE 400
BALTIMORE, MD 21218
Baltimore City (410) 244-7350
GILDA A. DORSEY CAC-AD
Counselor
2117 MARYLAND AVE
BALTIMORE, MD 21218
Baltimore City (410) 837-4292
DR. CORINNE INES BOREL DNP, FNP-BC, RN,CARN
Nurse Practitioner (Family)
2117 MARYLAND AVE
BALTIMORE, MD 21218
Baltimore City (410) 837-4292
JANET D. RAFFETTO LCSW-C
Social Worker
2117 MARYLAND AVE
BALTIMORE, MD 21218
Baltimore City (410) 837-4292
KAREN REESE CALHOUN CAC-AD
Counselor (Addiction (Substance Use Disorder))
2117 MARYLAND AVE
BALTIMORE, MD 21218
Baltimore City (410) 837-4292
MAN ALIVE, INC.
Counselor (Mental Health)
2117 MARYLAND AVE
BALTIMORE, MD 21218
Baltimore City (410) 837-4292

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 Man Alive, Inc.'s NPI number?

The NPI number for Man Alive, Inc. is 1255312203. It was assigned to this organization in the NPPES registry on November 8, 2005.

Where is Man Alive, Inc. located?

Man Alive, Inc. is located at 2117 Maryland Ave, Baltimore, MD 21218. The listed phone number is (410) 837-4292.

What is Man Alive, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

Does Man Alive, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2057588) is associated with this NPI, valid through April 18, 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 Man Alive, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.