OrganizationActive
Mercy Health Systems Inc.
NPI 1629671128 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Randallstown, MD
Provider details
- NPI number
- 1629671128
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Boluwaji Ogunyamoju, Owner/Executive Director(443) 600-2289
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
3725 Trent Rd
Randallstown, MD 21133-2806
Phone: (443) 600-2289
Street-level locationGet directions
Mailing address
3725 Trent Rd
Randallstown, MD 21133-2806
Registry dates
- Enumerated
- 2020-11-17
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.