Organization
Your Destiny Your Choice
Provider's NPPES record last updated: January 22, 2026
Overview
- Entity Type
- Organization
- NPI
- 1023977659
- Primary Specialty
- Prevention Professional
- Practice Location
- Baltimore, Maryland
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 7:23 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Prevention Professional
Other Service Providers
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
Taxonomy code 405300000X Registered Nurse
Home Health
Nursing Service Providers
Definition to come...
Taxonomy code 163WH0200XTechnician
Attendant Care Provider
Nursing Service Related Providers
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Taxonomy code 3747A0650XTechnician
Personal Care Attendant
Nursing Service Related Providers
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Taxonomy code 3747P1801XHome Health Aide
Nursing Service Related Providers
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Taxonomy code 374U00000X
Practice Locations
Practice Location
1829 E 30th St
Baltimore, Maryland 21218-3751
Phone: (443) 768-1736
Record Information
- Enumeration Date
- January 20, 2026
- Provider's NPPES Record Last Updated
- January 22, 2026
- Certification Date
- January 22, 2026
- NPISignal NPPES Dataset
- August 2026
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