NPIMap

Organization Active NPI

Faith Health Care Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Catonsville, MD
National Provider Identifier
1073051918
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R133965 Issued in MD
Legal business name
FAITH HEALTH CARE CENTER
Practice address
413 Commonwealth Ave
Suite 7
Catonsville, MD 21228-3044
Phone
(410) 869-4602
NPI assigned
Feb 10, 2017
Last updated
Feb 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Mercy FadojuNPI 1962671313
Title
Director
Phone
(443) 904-5129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R133965 MD Primary

Addresses

Primary practice location

413 Commonwealth Ave
Suite 7
Catonsville, MD 21228-3044

Mailing address

413 Commonwealth Ave
Suite 7
Catonsville, MD 21228-3044
Phone (410) 869-4602

Other identifiers 1

IdentifierTypeStateIssuer
1962671313MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Faith Health Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

413 Commonwealth Ave
Ste 7
Catonsville, MD 21228
Phone (410) 210-6086

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": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1073051918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 COMMONWEALTH AVE",
            "address_2": "SUITE 7",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283044",
            "telephone_number": "410-869-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 COMMONWEALTH AVE",
            "address_2": "SUITE 7",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283044",
            "telephone_number": "410-869-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "FADOJU",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-904-5129"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R133965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962671313",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.