Organization
CREST HAVEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES OMO-OJO (CEO)
(443) 854-6594
Entity
Organization
Contact information
Practice address
7206 HARFORD RD, BALTIMORE, MD 21234-7702
(443) 854-6594
Mailing address
7206 HARFORD RD, BALTIMORE, MD 21234-7702
(443) 854-6594
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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