Healthcare Provider Details

I. General information

NPI: 1912836529
Provider Name (Legal Business Name): CHROME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2638 E MONUMENT ST
BALTIMORE MD
21205-2643
US

IV. Provider business mailing address

2638 E MONUMENT ST
BALTIMORE MD
21205-2643
US

V. Phone/Fax

Practice location:
  • Phone: 667-310-9039
  • Fax:
Mailing address:
  • Phone: 667-310-9039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: IMIQUA J HENDERSON
Title or Position: CEO
Credential:
Phone: 667-310-9039