Healthcare Provider Details

I. General information

NPI: 1336120021
Provider Name (Legal Business Name): CAREPOINT RESPONSE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5124 GREENWICH AVE
BALTIMORE MD
21229-2314
US

IV. Provider business mailing address

5124 GREENWICH AVE
BALTIMORE MD
21229-2314
US

V. Phone/Fax

Practice location:
  • Phone: 410-433-5255
  • Fax: 410-433-6795
Mailing address:
  • Phone: 410-433-5255
  • Fax: 410-433-6795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number12650
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number11688
License Number StateMD

VIII. Authorized Official

Name: CINDY ANN SHAW-WILSON
Title or Position: QA AND COMPLIANCE SPECIALIST
Credential:
Phone: 443-986-0822