Yeshua Restoration and Healing Center LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

YESHUA RESTORATION AND HEALING CENTER LLC

Practice address

210 Powdersby Rd
Joppa, MD 21085-5418

Phone

(443) 447-2378

NPI assigned

May 14, 2025

Organization subpart

No

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

Authorized official

Name

Rolande MeumelieuNPI 1578902185

Title

President

Phone

(443) 447-2378

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 2

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

• Rolande Meumelieu

  • Psychiatric/Mental Health Nurse Practitioner
  • Joppa, MD
  • NPI 1578902185
  Medicare reassignment NPD Authorized official
• Celine Fotie

  • Psychiatric/Mental Health Nurse Practitioner
  • Belcamp, MD
  • NPI 1043072259
  Medicare reassignment

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1114718764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 POWDERSBY RD",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210855418",
            "telephone_number": "443-447-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 POWDERSBY RD",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210855418",
            "telephone_number": "443-447-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YESHUA RESTORATION AND HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "MEUMELIEU",
        "authorized_official_first_name": "ROLANDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-447-2378"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chaeryun Yi, DMD
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• Psychiatric/Mental Health Nurse Practitioner in Joppa, MD
• Providers in Joppa, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.