National Provider Identifier Database

AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES
3218 GREENMOUNT AVE
BALTIMORE, MD21218-3438
Phone: 443-934-0084
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES

NPI Number 1871245811
Legal business name
LBN
AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES
Authorized official JIMOH ADEBAYO - (CEO)
Entity Organization
Organization subpart No
Enumeration date 01/20/2022
Last updated 01/12/2026 - About 5 months ago
Sole proprietor1 Not specified
Identifiers
  • MD Medicaid: 1609470327
  • MD Medicaid: 1629653894

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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