Provider Demographics
NPI:1598374407
Name:SABINAS HOUSE LLC
Entity Type:Organization
Organization Name:SABINAS HOUSE LLC
Other - Org Name:SABINAS HOUSE HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-596-8238
Mailing Address - Street 1:435 EASTERN BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-6715
Mailing Address - Country:US
Mailing Address - Phone:443-593-8238
Mailing Address - Fax:
Practice Address - Street 1:605 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-4832
Practice Address - Country:US
Practice Address - Phone:443-596-8238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-27
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder