THE HOUSE OF THE GOOD SHEPHERD OF THE CITY OF BALTIMORE
NPI 1508980251
Residential Treatment Facility, Emotionally Disturbed Children in Baltimore, MD

Active since March 19, 2007
4100 MAPLE AVENUE, BALTIMORE, MD 21227(410) 247-2770(410) 247-3242 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The House Of The Good Shepherd Of The City Of Baltimore NPPES

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

THE HOUSE OF THE GOOD SHEPHERD OF THE CITY OF BALTIMORE (NPI 1508980251) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Baltimore, Maryland and active in the NPI registry since March 2007. The organization lists Derrick A. Boone, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1508980251
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameTHE HOUSE OF THE GOOD SHEPHERD OF THE CITY OF BALTIMORE
Location Address4100 MAPLE AVENUEBaltimore, MD 21227-4007
Mailing Address4100 Maple AvenueBaltimore, MD 21227-4007 · (410) 247-2770 · Fax (410) 247-3242
Fax(410) 247-3242
Organization SubpartNo
Authorized OfficialDerrick A. BoonePresident & Ceo · (410) 247-2770
Enumeration DateMarch 19, 2007
Last NPPES UpdateMay 13, 2009
NPI 1508980251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License Licensed in MD · 03-049
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
4100 MAPLE AVENUE, Baltimore, MD 21227

Other Identifiers 1

Medicaid427825900MD

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 The House Of The Good Shepherd Of The City Of Baltimore's NPI number?

The NPI number for The House Of The Good Shepherd Of The City Of Baltimore is 1508980251. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is The House Of The Good Shepherd Of The City Of Baltimore located?

The House Of The Good Shepherd Of The City Of Baltimore is located at 4100 Maple Avenue, Baltimore, MD 21227. The listed phone number is (410) 247-2770.

What is The House Of The Good Shepherd Of The City Of Baltimore's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for The House Of The Good Shepherd Of The City Of Baltimore was last updated on May 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.