NPIMap

Organization Active NPI

Healing Hands Behavioral Health Services, LLC

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1013517846
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEALING HANDS BEHAVIORAL HEALTH SERVICES, LLC
Practice address
14240 W Side Blvd Apt 205
Laurel, MD 20707-6237
Phone
(443) 803-4837
NPI assigned
Oct 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Mr. Eric Angeme Amene, NURSE PRACTITIONERNPI 1750641221
Title
Owner
Phone
(443) 803-4837

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
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

14240 W Side Blvd Apt 205
Laurel, MD 20707-6237

Mailing address

14240 W Side Blvd Apt 205
Laurel, MD 20707-6237
Phone (443) 803-4837

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL electronically Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1013517846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14240 W SIDE BLVD APT 205",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076237",
            "telephone_number": "443-803-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14240 W SIDE BLVD APT 205",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076237",
            "telephone_number": "443-803-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "AMENE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ANGEME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-803-4837",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "electronically",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14240 W Side Blvd Apt 205",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207076237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.