Healthcare Provider Details

I. General information

NPI: 1457211567
Provider Name (Legal Business Name): BALTIMORE BRIGHTER BEGINNINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 N CHARLES ST STE 401
BALTIMORE MD
21201-5594
US

IV. Provider business mailing address

500 WINSTON AVE
BALTIMORE MD
21212-4513
US

V. Phone/Fax

Practice location:
  • Phone: 917-543-2053
  • Fax:
Mailing address:
  • Phone: 443-248-5066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: PATRICK OFUOKWU
Title or Position: ADMINISTRATOR
Credential:
Phone: 443-248-5066