Healthcare Provider Details

I. General information

NPI: 1407145501
Provider Name (Legal Business Name): HEALTH CARE FOR THE HOMELESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2011
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 FALLSWAY
BALTIMORE MD
21202-4800
US

IV. Provider business mailing address

421 FALLSWAY
BALTIMORE MD
21202-4800
US

V. Phone/Fax

Practice location:
  • Phone: 410-837-5533
  • Fax: 410-244-8598
Mailing address:
  • Phone: 410-837-5533
  • Fax: 410-244-8598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MEGHAL SHAH
Title or Position: DIRECTOR REV CYCLE
Credential:
Phone: 443-703-1331