THE ELYSIAN FIELDS OPTIMUM WELLNESS AND MENTAL HEALTH GROUP, LLC
Substance Abuse Rehabilitation Facility

Address: 339 Bloom St, Baltimore, MD 21217-4598

THE ELYSIAN FIELDS OPTIMUM WELLNESS AND MENTAL HEALTH GROUP, LLC (NPI# 1881288942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881288942
Entity Type Organization
Organization Name THE ELYSIAN FIELDS OPTIMUM WELLNESS AND MENTAL HEALTH GROUP, LLC
Practice Address 339 Bloom St
Baltimore
MD 21217-4598
Practice Telephone 4106245037
Mailing Address 2222 N Howard St
Baltimore
MD 21218-5609
Mailing Telephone 4106245037
Certification Date 2021-03-01
Enumeration Date 2021-03-01
Last Update Date 2021-03-01
Authorized Official Telephone 4103670708
Is Organization Subpart Y
Parent Organization Name THE ELYSIAN FIELDS OPTIMUM WELLNESS AND MENTAL HEALTH GROUP, LLC

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address info@70x7wm.com (company email address) 339 Bloom St, Baltimore, MD 212174598 Direct CSV

Office Location

Street Address 339 BLOOM ST
City BALTIMORE
State MD
Zip Code 21217-4598

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013427863 2 God B The Glory Recovery Family Center Voluntary or Charitable 339 Bloom St, Baltimore, MD 21217-4598 2017-10-06
1295206787 2 God B The Glory, Inc. Case Manager/Care Coordinator 339 Bloom St, Baltimore, MD 21217-4598 2018-12-10
1609353267 Rowena Simmons Counselor 339 Bloom St, Baltimore, MD 21217-4598 2018-07-25
1679097695 Frank Hocker Sr. Counselor · Addiction (Substance Use Disorder) 339 Bloom St, Baltimore, MD 21217-4598 2017-08-01

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1588255756 Nuwave Health Srvices Substance Abuse Rehabilitation Facility 609 Appleton Street, Baltimore, MD 21217 2021-02-01
1982186102 Family First Home Care LLC In Home Supportive Care 1645 N Calhoun St Apt 205, Baltimore, MD 21217 2018-09-04
1821598616 Organizational Pathways, LLC Counselor · Professional 2306 Mount Royal Ter Apt 1a, Baltimore, MD 21217 2018-02-18
1881131308 Domonique Matthews Registered Nurse 1515 W. North Ave, 1st Floor, Baltimore, MD 21217 2017-01-23
1285189597 Kelly Moore Pharmacist 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 2016-08-17
1992121982 Dorren Rennes Counselor · Mental Health 2350 Eutaw Place, Baltimore, MD 21217 2014-03-14
1437498615 Care One Pharmacy Ltc/Specialty Pharmacy Pharmacy · Long Term Care Pharmacy 2277-2279 Reisterstown Road, Baltimore, MD 21217 2013-02-07
1790023448 Adeola Titilayo Adefioye Registered Nurse 922-924 W. North Avenue, Total Health Care - True Health, Baltimore, MD 21217 2013-01-30
1912274150 Total Health Care Inc. Community/Behavioral Health 5101 Division Street, Baltimore, MD 21217 2011-11-16
1023252129 Pamela Penina Johnson Nurse Practitioner · Psych/Mental Health 1501 Division Street, Baltimore, MD 21217 2009-04-21
Find all providers in zip 21217

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851977581 Nuwave Health Services 3817 Fairview Ave, Baltimore, MD 21216-1227 2021-03-23
1699360354 Refined Life Solutions LLC 1645 Stonewood Rd, Baltimore, MD 21239-4041 2021-03-04
1487246476 Standing Strong Inc. 1002 E 20th St, Baltimore, MD 21218-6310 2021-02-10
1003408329 Hope's Horizon LLC 4217 Bayonne Ave, Baltimore, MD 21206-2602 2021-02-08
1780275958 Nuwave Health Services 3530 Manchester Avenue, Baltimore, MD 21215 2021-02-01
1588255756 Nuwave Health Srvices 609 Appleton Street, Baltimore, MD 21217 2021-02-01
1205427473 Nuwave Health Services 1727 Morrland Avenue, Baltimore, MD 21216 2021-02-01
1598354466 One Promise 6207 Belair Rd, Baltimore, MD 21206-1942 2021-01-14
1801482120 Amazing Place LLC 100 Harborview Dr Unit 403, Baltimore, MD 21230-5418 2020-12-21
1689260036 I Think Different Behavioral Health Services LLC 4200 Edmondson Ave Ste 100, Baltimore, MD 21229-1617 2020-12-18
Find all providers in BALTIMORE

Competitor

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City BALTIMORE
Zip Code 21217

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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.

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