Healthcare Provider Details

I. General information

NPI: 1801761762
Provider Name (Legal Business Name): HEALTH CARE FOR THE HOMELESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9150 FRANKLIN SQUARE DR. 3RD FLOOR
BALTIMORE MD
21237
US

IV. Provider business mailing address

421 FALLSWAY
BALTIMORE MD
21202-4800
US

V. Phone/Fax

Practice location:
  • Phone: 410-837-5533
  • Fax:
Mailing address:
  • Phone: 410-837-5333
  • Fax:

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 REVENUE CYCLE
Credential:
Phone: 410-837-5533