JEFFERSON RTC – NPI #1255424164
Residential Treatment Facility, Emotionally Disturbed Children
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
JEFFERSON RTC is a residential treatment facility located in JEFFERSON, MD. NPPES has assigned the NPI number 1255424164 to JEFFERSON RTC on October 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JEFFERSON RTC” is a dba name, the actual legal business name for this organization is SHEPPARD PRATT HEALTH SYSTEM, INC. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.
The NPI profile was previously updated about 17 years ago on Jan 16, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFERSON RTC below.
NPI Profile for
SHEPPARD PRATT HEALTH SYSTEM, INC
(more than 19 years ago)
JEFFERSON, MD 21755-0009 Phone: (301) 624-8400 Fax: (301) 624-8404
BALTIMORE, MD 21204-6819 Phone: (410) 938-3000 Fax: (410) 938-3159
VP, CORPORATE BUSINESS DEVELOPMENT
Phone: (410) 938-3154
Identifiers for JEFFERSON RTC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MD | 081505500 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children (Primary) |
MD | 10-018 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.