JOHNNY CARES INC (NPI# 1962899955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962899955 |
| Entity Type | Organization |
| Organization Name | JOHNNY CARES INC |
| Other Organization Name | WAVERLY HEALTH & FITNESS CENTER |
| Practice Address |
3028 Greenmount Ave Baltimore MD 21218-3938 |
| Mailing Address |
1734 Maryland Ave Baltimore MD 21201-5804 |
| Practice Telephone | 4104676040 |
| Practice Fax Number | 4104675944 |
| Mailing Telephone | 4104676040 |
| Mailing Fax Number | 4104675944 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |
| Authorized Official Name | MR. WILLIAM GREEN (MANAGING AGENT) |
| Authorized Official Telephone | 4104676040 |
| Is Organization Subpart | Y |
| Parent Organization Name | JOHNNY CARES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Waverly Health & Fitness Center | Doing Business As Name - Organization |
| Street Address |
3028 GREENMOUNT AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-3938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548240302 | Peoples Community Health Center Inc | Family Medicine | 3028 Greenmount Ave, Baltimore, MD 21218-3938 | 2006-01-18 |
| 1003293218 | Johnny Cares, Inc | Counselor | 3028 Greenmount Ave, Baltimore, MD 21218-3938 | 2015-04-27 |
| 1548652753 | Johnnycares, Inc. | Counselor | 3028 Greenmount Ave, Baltimore, MD 21218-3938 | 2015-02-25 |
| 1417276817 | Loretta Yvonne Wall | Social Worker | 3028 Greenmount Ave, Baltimore, MD 21218-3938 | 2010-05-25 |
| 1386804144 | Jashoman Banerjee | Obstetrics & Gynecology | 3028 Greenmount Ave, Baltimore, MD 21218-3938 | 2008-06-13 |
| 1932177730 | Richelle Sharon Gaskin | Obstetrics & Gynecology | 3028 Greenmount Ave, Baltimore, MD 21218 | 2006-03-09 |
| 1144297334 | Lelin Chao | Family Medicine | 3028 Greenmount Ave, Baltimore, MD 21218 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000679 | Laly Sorto | Nurse Practitioner | 923 S Curley St, Baltimore, MD 21224-4825 | 2020-10-14 |
| 1093312209 | Shelby Bruno | Nurse Practitioner | 29 S Greene St Fl 2, Baltimore, MD 21201-1504 | 2020-10-01 |
| 1558996520 | Mercy Olunma Ejikemeh | Nurse Practitioner | 4625 Riddle Dr, Baltimore, MD 21236-5702 | 2020-03-10 |
| 1215599170 | Shannon Joan Carroll | Nurse Practitioner | 1448 Richardson St, Baltimore, MD 21230-5322 | 2019-07-01 |
| 1871074096 | Debobeth Medical Center | Nurse Practitioner | 3107 Erdman Ave, Baltimore, MD 21213-1719 | 2018-08-25 |
| 1558853747 | Jackline Ukadike | Nurse Practitioner | 650 S Exeter St, Baltimore, MD 21202-4573 | 2018-06-04 |
| 1881183283 | Rosanna Thy Dinh | Nurse Practitioner | 419 W Redwood St Ste 330, Baltimore, MD 21201-7003 | 2018-05-02 |
| 1992219885 | Josie Dantzler | Nurse Practitioner | 405 N Paca St Fl 1, Baltimore, MD 21201-1815 | 2017-11-30 |
| 1306358908 | Gina Lynne Murray | Nurse Practitioner | 4102 Chardel Rd Apt 3f, Baltimore, MD 21236-5463 | 2017-11-04 |
| 1114440468 | Abigale Ann Celotto | Nurse Practitioner | 22 S Greene St # G7k22, Baltimore, MD 21201-1544 | 2017-07-19 |
| Find all providers in BALTIMORE | ||||
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| 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.