Healthcare Provider Details

I. General information

NPI: 1952007577
Provider Name (Legal Business Name): CAREHIRE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 02/06/2023
Certification Date: 02/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N LAKEWOOD AVE
BALTIMORE MD
21205-2637
US

IV. Provider business mailing address

3452 AUCHENTOROLY TER
BALTIMORE MD
21217-2052
US

V. Phone/Fax

Practice location:
  • Phone: 443-401-0787
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QR0800X
TaxonomyRecovery Care Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. TANYA RICHARDSON
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 443-401-0787