Healthcare Provider Details

I. General information

NPI: 1851973051
Provider Name (Legal Business Name): CONSORTIUM HEALTH & REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2021
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3211 BELAIR RD FIRST FLOOR
BALTIMORE MD
21213-1287
US

IV. Provider business mailing address

3240 BELAIR RD
BALTIMORE MD
21213-1228
US

V. Phone/Fax

Practice location:
  • Phone: 443-985-6011
  • Fax:
Mailing address:
  • Phone: 443-985-6011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: BLESSING GABRIEL
Title or Position: MGR
Credential:
Phone: 443-985-6011