Total Image Care, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TOTAL IMAGE CARE, INC.

Doing business as

Image Recovery Center at Upper Chesapeake

Practice address

500 Upper Chesapeake Dr
Suite 11
Bel Air, MD 21014-4324

Phone

(443) 643-3224

Fax

(443) 643-3227

NPI assigned

Oct 3, 2013

Last updated

Oct 3, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

TOTAL IMAGE CARE, INCAs reported in NPPES

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

Authorized official

Name

Mr. Edward Jerome Kelly III, MBA, CPA

Title

Ceo

Phone

(410) 560-0614

Specialties & licenses 1

Addresses

Other names 1

• Image Recovery Center at Upper Chesapeake Doing business as

Part of

Total Image Care Inc

Locations

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1104253160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 YORK RD",
            "address_2": "SUITE I",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935122",
            "telephone_number": "410-560-0614",
            "fax_number": "410-560-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 11",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144324",
            "telephone_number": "443-643-3224",
            "fax_number": "443-643-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL IMAGE CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL IMAGE CARE, INC",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-560-0614",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MBA, CPA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Image Recovery Center at Upper Chesapeake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jean Masci Toth, R.N.
• Nathan William Toth, PA-C
• Darcie Roseanne Tough, CNM
• Javon Lanysha Townsend, LCSW-C

• Durable Medical Equipment & Medical Supplies in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.