NPIMap

Organization Active NPI

A Better You Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middle River, MD
National Provider Identifier
1043807035
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
A BETTER YOU HEALTH LLC
Practice address
2101 Old Orems Rd
Middle River, MD 21220-4116
Phone
(443) 370-2946
Fax
(443) 645-5891
NPI assigned
Dec 24, 2020
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Mr. Kenneth C Eguzo, MSNNPI 1518511054
Title
Pmhnp
Phone
(443) 370-2946

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

2101 Old Orems Rd
Middle River, MD 21220-4116

Mailing address

9877 Decatur Rd
Middle River, MD 21220-3776
Phone (443) 370-2946

Other practice location 1

9877 Decatur Rd
Middle River, MD 21220-3776
Phone (443) 370-2946

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210205000637 MD Part B Supplier - Clinic/Group Practice 9133533946 Receives reassigned benefits from 1 practitioner
Practice locations: Middle River, MD

National Provider Directory

National Provider Directory

Locations

2101 Old Orems Rd
Middle River, MD 21220
Phone (443) 370-2946

Practitioners & affiliated clinicians

Practitioners 1

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": "1608768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1043807035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9877 DECATUR RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212203776",
            "telephone_number": "443-370-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 OLD OREMS RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212204116",
            "telephone_number": "443-370-2946",
            "fax_number": "443-645-5891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9877 Decatur Rd",
            "address_purpose": "LOCATION",
            "city": "Middle River",
            "state": "MD",
            "postal_code": "212203776",
            "country_code": "US",
            "telephone_number": "443-370-2946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A BETTER YOU HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-24",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "EGUZO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "443-370-2946",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle River, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.