Healthcare Provider Details

I. General information

NPI: 1245097708
Provider Name (Legal Business Name): ACCLAIM ENTERPRISES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2024
Last Update Date: 03/01/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6606 PARK HEIGHTS AVE APT 403
BALTIMORE MD
21215-2753
US

IV. Provider business mailing address

6606 PARK HEIGHTS AVE APT 403
BALTIMORE MD
21215-2753
US

V. Phone/Fax

Practice location:
  • Phone: 410-499-2588
  • Fax: 443-485-5875
Mailing address:
  • Phone: 410-499-2588
  • Fax: 443-485-5875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. LISA M. CARTER
Title or Position: OWNER/CEO
Credential:
Phone: 410-499-2588