BERNICE E. MEADE HOUSE OF SAFE HAVEN – NPI #1124223979
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

BERNICE E. MEADE HOUSE OF SAFE HAVEN is a substance abuse rehabilitation facility located in BALTIMORE, MD. NPPES has assigned the NPI number 1124223979 to BERNICE E. MEADE HOUSE OF SAFE HAVEN on June 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BERNICE E. MEADE HOUSE OF SAFE HAVEN” is a dba name, the actual legal business name for this organization is COLLINGTON SQUARE NON PROFIT CORPORATION. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 BERNICE E. MEADE HOUSE OF SAFE HAVEN below.

NPI Profile for
COLLINGTON SQUARE NON PROFIT CORPORATION

NPI Number
1124223979
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLLINGTON SQUARE NON PROFIT CORPORATION
Doing Business As (dba): BERNICE E. MEADE HOUSE OF SAFE HAVEN
Primary location
1211 N CHESTER ST
BALTIMORE, MD 21213-3330
Phone: (410) 342-6858 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEWEL GRAY
EXECUTIVE DIRECTOR
Phone: (410) 342-6858
Updated
Identifiers

Identifiers for BERNICE E. MEADE HOUSE OF SAFE HAVEN

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.

DescriptionIssuerStateIdentifier
OTHERSAMIS NOMD101466
Taxonomy Code(s)

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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)
MD 101466

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.