OrganizationActive
Independence Foundation, Inc.
NPI 1104298355 · Community/Behavioral Health Agency · Baltimore, MD
Provider details
- NPI number
- 1104298355
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lavon Magruder, Executive Director(443) 204-1134
- License
- 1700 (MD)
Specialties & taxonomies
Agencies
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13 S. Carrollton Ave
Baltimore, MD 21223
Phone: (443) 204-1134
Street-level locationGet directions
Mailing address
13 S Carrollton Ave
Baltimore, MD 21223-2626
Registry dates
- Enumerated
- 2015-10-28
- Last updated
- 2015-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.