HERITAGE TREATMENT CENTER INC
NPI 1568058196
Internal Medicine - Addiction Medicine in Baltimore, MD

Active since December 17, 2020
4200 EDMONDSON AVE STE 102, BALTIMORE, MD 21229(443) 224-0655 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 4, 2025, Dec 17, 2020 (2 updates tracked since 2020).

  • Organization
  • Internal Medicine
  • Addiction Medicine

About HERITAGE TREATMENT CENTER INC

This page provides the complete NPI Profile along with additional information for Heritage Treatment Center Inc, an internist established in Baltimore, Maryland operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1568058196 assigned on December 2020. The practitioner's primary taxonomy code is 207RA0401X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Tiffany Lynnell Beane (Co-owner)

NPI
1568058196 Verify this NPI
Provider Name
HERITAGE TREATMENT CENTER INC
Other Name Type
(6)
Entity Type
Organization
Location Address
4200 EDMONDSON AVE STE 102 BALTIMORE, MD 21229
Location Phone
(443) 224-0655
Mailing Address
4200 EDMONDSON AVE STE 102 BALTIMORE, MD 21229
Mailing Phone
(443) 224-0655
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-17-2020
Last Update Date
04-04-2025
Code Navigator

An internist like Heritage Treatment Center Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine Addiction Medicine

Taxonomy Code
207RA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

TIFFANY LYNNELL BEANE

Authorized Official Title
CO-OWNER
Authorized Official Phone
(443) 873-9389

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine (Addiction Medicine)
4200 EDMONDSON AVE STE 102
BALTIMORE, MD 21229
Social Worker
4200 EDMONDSON AVE STE 102
BALTIMORE, MD 21229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568058196, enumerated as an "organization" on December 17, 2020.

The provider is located at 4200 EDMONDSON AVE STE 102 BALTIMORE, MD 21229 and the phone number is (443) 224-0655.

Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.