GRACE HOUSE IOP, LLC
NPI 1285361725
Clinic/Center - Rehabilitation, Substance Use Disorder in Glen Burnie, MD

NPI Status: Active since August 04, 2022

Contact Information

1401 MADISON PARK DR
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 903-6483

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About GRACE HOUSE IOP, LLC

This page provides the complete NPI Profile along with additional information for Grace House Iop, Llc, a provider established in Glen Burnie, Maryland operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1285361725 assigned on August 2022. The practitioner's primary taxonomy code is 261QR0405X. 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 Patrica Crowley (Ceo)

NPI
1285361725
Provider Name
GRACE HOUSE IOP, LLC
Entity Type
Organization
Location Address
1401 MADISON PARK DR GLEN BURNIE, MD 21061
Location Phone
(410) 903-6483
Mailing Address
1401 MADISON PARK DR GLEN BURNIE, MD 21061
Mailing Phone
(410) 903-6483
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2022
Last Update Date
10-19-2022
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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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 

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

PATRICA CROWLEY

Authorized Official Title
CEO
Authorized Official Phone
(443) 517-9338

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285361725
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216566274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 6 + 6 + 2 + 7 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1285361725 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

MIRZA M. NUSAIREE, MD.

Internal Medicine

1401 MADISON PARK DR
SUITE 100
GLEN BURNIE, MD
ZIP 21061

(410) 766-4747

DR. SUSHEEL K SHARMA M.D.

Internal Medicine

(Cardiovascular Disease)

1401 MADISON PARK DR
GLEN BURNIE, MD
ZIP 21061

(410) 761-8007

DR. SALMAN M MALIK M.D.

Internal Medicine

(Clinical Cardiac Electrophysiology)

1401 MADISON PARK DR
GLEN BURNIE, MD
ZIP 21061

(410) 761-8007

MARYLAND HEART ASSOCIATESLLC

Internal Medicine

(Cardiovascular Disease)

1401 MADISON PARK DR
GLEN BURNIE, MD
ZIP 21061

(410) 761-8007

MRS. PATRICIA CROWLEY

Counselor

(Addiction (Substance Use Disorder))

1401 MADISON PARK DR
GLEN BURNIE, MD
ZIP 21061

(443) 517-9338

MIRZA M. NUSAIREE M.D.

Internal Medicine

1401 MADISON PARK DR
SUITE #100
GLEN BURNIE, MD
ZIP 21061

(410) 766-4747

MRS. LISA MARIE STALNAKER

Counselor

(Addiction (Substance Use Disorder))

1401 MADISON PARK DR
GLEN BURNIE, MD
ZIP 21061

(410) 903-6483

AMY RAQUEL BOWERS CSC-AD

Counselor

(Addiction (Substance Use Disorder))

1401 MADISON PARK DR
GLEN BURNIE, MD
ZIP 21061

(410) 999-0891

TIFFANY NICOLE HUFF ADT

Counselor

(Addiction (Substance Use Disorder))

1401 MADISON PARK DR
GLEN BURNIE, MD
ZIP 21061

(410) 999-0891

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285361725, enumerated as an "organization" on August 04, 2022.

The provider is located at 1401 MADISON PARK DR GLEN BURNIE, MD 21061 and the phone number is (410) 903-6483.

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