Blue Door Recovery

Rehabilitation, Substance Use Disorder Unit in Baltimore, MD. Organization (NPI-2).

NPI number1477233302

StatusActive

Last updated in NPPESJul 25, 2023

Details

NPI: 1477233302
Entity type: Organization (NPI-2)
Legal business name: Blue Door Recovery
Organization subpart: No
Enumeration date: Jul 25, 2023
Certification date: Jul 25, 2023
Last updated: Jul 25, 2023

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
276400000X	Rehabilitation, Substance Use Disorder Unit	–	–	Yes

Other names

Blue Door Recovery (Doing Business As)

Practice location

4200 Pimlico Rd Unit Hm
Baltimore, MD 21215-6910

Phone 141-029-2589

Mailing address

2798 Quantim Ct
Manchester, MD 21102-1894

Phone 410-292-5896

Authorized official

Tyran Dukes
Owner
4102925896

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Substance Use Disorder Rehabilitation Hospital Unit providers in Baltimore, MD

All 16 Substance Use Disorder Rehabilitation Hospital Unit providers in Baltimore · All 45,752 providers in Baltimore

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