Healthcare Provider Details

I. General information

NPI: 1811644008
Provider Name (Legal Business Name): REALITYCARE HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2022
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 OLD COURT RD STE 308
RANDALLSTOWN MD
21133-6202
US

IV. Provider business mailing address

5310 OLD COURT RD STE 308
RANDALLSTOWN MD
21133-6202
US

V. Phone/Fax

Practice location:
  • Phone: 443-772-5454
  • Fax: 410-496-4171
Mailing address:
  • Phone: 443-772-5454
  • Fax: 410-496-4171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: GLORIA NNAH
Title or Position: OWNER
Credential:
Phone: 443-772-5454