NPIMap

Organization Active NPI

Healthy Choice Family Clinic and Urgent Care, LLC

  • Primary Care Clinic/Center
  • Landover, MD
National Provider Identifier
1003236001
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R184425 Issued in MD
Legal business name
HEALTHY CHOICE FAMILY CLINIC AND URGENT CARE, LLC
Practice address
8700 Central Ave
Suite # 302a
Landover, MD 20785-4831
Phone
(301) 613-9295
Fax
(888) 202-7717
NPI assigned
Apr 17, 2014
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Victoria Titus, TITUSNPI 1215207543
Title
President /Owner
Phone
(301) 613-9295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R184425 MD Primary

Addresses

Primary practice location

8700 Central Ave
Suite # 302a
Landover, MD 20785-4831

Mailing address

8700 Central Ave
Suite 302 a
Landover, MD 20785-4831
Phone (301) 613-9295

Other identifiers 1

IdentifierTypeStateIssuer
R184425OtherMDMARYLAND STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140925001127 DC Part B Supplier - Clinic/Group Practice 8022238054 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Hyattsville, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2090001Healthy Choice Family Clinic & Urgent8700 Central Avenue Ste 302a, Hyattsville, MD 20785Certificate of waiverJan 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Healthy Choice Fam Clncur Ca2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8700 Central Ave
Ste 302A
Landover, MD 20785
Phone (301) 613-9295

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1003236001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE",
            "address_2": "SUITE 302 A",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854831",
            "telephone_number": "301-613-9295",
            "fax_number": "888-202-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE",
            "address_2": "SUITE # 302A",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854831",
            "telephone_number": "301-613-9295",
            "fax_number": "888-202-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CHOICE FAMILY CLINIC AND URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT /OWNER",
        "authorized_official_telephone_number": "301-613-9295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "TITUS"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R184425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE LICENSE",
            "identifier": "R184425",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.