MAN ALIVE, INC.
NPI 1255312203
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Baltimore, MD
NPI Status: Active since November 08, 2005
Contact Information
2117 MARYLAND AVE
BALTIMORE, MD
ZIP 21218
Phone: (410) 837-4292
Fax: (410) 837-0639
- Organization
- Clinic/Center
- Rehabilitation, Comprehensive Outpatient...
- CLIA Number: 21D2057588
- CLIA Cert. Type: Other - OPIOID TREATMENT PROG
- CLIA Exp. Date: 04-18-2027
About MAN ALIVE, INC.
This page provides the complete NPI Profile along with additional information for Man Alive, Inc., a provider established in Baltimore, Maryland operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1255312203 assigned on November 2005. The practitioner's primary taxonomy code is 261QR0401X with license number 900128 (MD). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Karen Reese M.a., Cac-ad (Executive Director)
- NPI
- 1255312203
- Provider Name
- MAN ALIVE, INC.
- Entity Type
- Organization
- Location Address
- 2117 MARYLAND AVE BALTIMORE, MD 21218
- Location Phone
- (410) 837-4292
- Location Fax
- (410) 837-0639
- Mailing Address
- 2117 MARYLAND AVE BALTIMORE, MD 21218
- Mailing Phone
- (410) 837-4292
- Mailing Fax
- (410) 837-0639
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2005
- Last Update Date
- 08-22-2020
- 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
Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
- Taxonomy Code
- 261QR0401X
- Type
- Ambulatory Health Care Facilities
- License No.
- 900128
- License State
- MD
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.
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 |
|---|---|---|---|
| 57387001 | OTHER (01) | MD | CAREFIRST BCBS |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
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
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
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.
This service was performed 4,017 times for 102 patientsPeriodic 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.
This service was performed 42 times for 36 patientsCLIA 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
- 21D2057588
- Facility Type
- Other - OPIOID TREATMENT PROG
- Certificate Effective Date
- April 19, 2025
- Certificate Expiration Date
- April 18, 2027
- Laboratory Director
- UGANDHAR VEMULAPALLI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Man Alive, 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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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 1255312203, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
BALTIMORE, MD 21218
BALTIMORE, MD 21218
BALTIMORE, MD 21218
BALTIMORE, MD 21218
BALTIMORE, MD 21218
BALTIMORE, MD 21218
BALTIMORE, MD 21218
BALTIMORE, MD 21218
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255312203, enumerated as an "organization" on November 08, 2005.
The provider is located at 2117 MARYLAND AVE BALTIMORE, MD 21218 and the phone number is (410) 837-4292.
Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
