TITOMO HEALTHCARE SERVICES LLC


Address: 1708 Greens Ln, Hanover, MD 21076-1116
Phone: 2405830528

TITOMO HEALTHCARE SERVICES LLC (NPI# 1720627151) 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) 1720627151
Entity Type Organization
Organization Name TITOMO HEALTHCARE SERVICES LLC
Practice Address 1708 Greens Ln
Hanover
MD 21076-1116
Practice Telephone 2405830528
Mailing Telephone 2405830528
Enumeration Date 2020-01-02
Last Update Date 2020-06-24
Authorized Official Name MR. TAJUDEEN OMODEOYE (CEO / CRNP-PMH)
Authorized Official Telephone 2405830528
Authorized Official Credential CRNP-PMH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1708 GREENS LN
City HANOVER
State MD
Zip Code 21076-1116

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1033404298 Kristen L. Barletta Nurse Practitioner 105 Webster St, Ste 8, Hanover, MA 02339-1227 2011-06-16
1013033430 Joan Rosa Nurse Practitioner 105 Webster St Ste 8, Hanover, MA 02339-1227 2007-03-21
1245377480 Edith Susan Minkin Nurse Practitioner 105 Webster St, Ste 8, Hanover, MA 02339-1227 2007-01-30
1619087442 Maria L Salafia Nurse Practitioner 105 Webster St Ste 8, Hanover, MA 02339-1227 2006-08-30

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Competitor

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City HANOVER
Zip Code 21076

Improve Information

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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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