HEALTHY GENERATIONS COMPREHENSIVE CARE LLC


Address: 7850 Rossville Blvd Ste 210, Nottingham, MD 21236-3934
Phone: 4439616164

HEALTHY GENERATIONS COMPREHENSIVE CARE LLC (NPI# 1417563883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417563883
Entity Type Organization
Organization Name HEALTHY GENERATIONS COMPREHENSIVE CARE LLC
Practice Address 7850 Rossville Blvd Ste 210
Nottingham
MD 21236-3934
Mailing Address 722 Dulaney Valley Rd Ste 259
Towson
MD 21204-5109
Practice Telephone 4439616164
Mailing Telephone 4439616164
Enumeration Date 2020-09-21
Last Update Date 2020-10-05
Authorized Official Name DR. SHAVON TRENICE DARDEN (PROVIDER)
Authorized Official Telephone 4439616164
Authorized Official Credential PHD, CRNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 7850 ROSSVILLE BLVD STE 210
City NOTTINGHAM
State MD
Zip Code 21236-3934

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City NOTTINGHAM
Zip Code 21236

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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