Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JR HEALTHCARE ASSOCIATES, LLC
Active
Organization
JR HEALTHCARE ASSOCIATES, LLC
Active
Other names
Behavioral Health Clinic (BHC)
Organization subpart
No
Provider details
NPI number
Authorized official
NAG NELLURI (PRESIDENT)
(443) 995-4113
Entity
Organization
Contact information
Practice address
2310 N CHARLES ST, BALTIMORE, MD 21218
(410) 844-4110
(410) 741-3008
Mailing address
2310 N CHARLES ST, BALTIMORE, MD 21218
(410) 844-4110
(410) 741-3008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
905397
MD
261QC1500X
Community Health Clinic/Center
905397
MD
261QH0100X
Health Service Clinic/Center
905397
MD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
905397
MD
261QM0850X
Adult Mental Health Clinic/Center
905397
MD
261QP2300X
Primary Care Clinic/Center
905397
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
905397
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200803300
—
MD
Enumeration date
12/16/2014
Last updated
05/25/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up