Independence Foundation, Inc.
Community/Behavioral Health

Address: 13 S. Carrollton Ave, Baltimore, MD 21223
Phone: 4432041134

Independence Foundation, Inc. (NPI# 1104298355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1104298355
Entity Type Organization
Practice Address 13 S. Carrollton Ave
MD 21223
Practice Telephone 4432041134
Mailing Address 13 S Carrollton Ave
MD 21223-2626
Mailing Telephone 4106850162
Authorized Official Name Lavon Magruder (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4432041134
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2015-10-28
Last Update Date 2015-10-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 251S00000X Community/Behavioral Health Agencies 1700 MD

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Office Location

Street Address 13 S. CARROLLTON AVE
State MD
Zip Code 21223

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649743972 Dominique Olivier Nurse Practitioner Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 2019-01-09
1659858769 Millicent Boa-amponsem Registered Nurse 907 Ramsay St, Baltimore, MD 21223 2018-07-20
1023527231 University Psychological Center, Inc Substance Abuse Rehabilitation Facility 13-19 South Fulton Avenue, Baltimore, MD 21223 2017-09-20
1245766468 University Psychological Center, Inc Substance Abuse Rehabilitation Facility 1208-10 James Street, Baltimore, MD 21223 2017-05-08
1750737599 Natasia D Brown Social Worker 1501 W. Saratoga St., Baltimore, MD 21223 2016-05-11
1588095087 Jr Healthcare Associates Dba Baltimore Behavioral Health Clinic/Center 1101 W. Pratt St., Baltimore, MD 21223 2013-12-09
1639501448 Behavioral Health Network LLC Counselor 1101 W. Pratt Street, Baltimore, MD 21223 2013-08-02
1457606196 Bon Secours Baltimore Physician Group LLC Internal Medicine 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 2012-07-18
1790060317 Bestcare Pharmacy, Inc Pharmacist 3061 Frederick Avenue, Baltimore, MD 21223 2011-10-14
1962631218 Charles Key Cooper Internal Medicine 2401 W. Baltimore St, Baltimore, MD 21223 2009-07-08
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Zip Code 21223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.