NPIMap

Organization Active NPI

Overcare Health Services LLC

  • Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1124714720
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
OVERCARE HEALTH SERVICES LLC
Practice address
2245 Eastern Ave
Baltimore, MD 21231-3113
Phone
(443) 489-9009
Fax
(443) 489-9008
NPI assigned
Apr 17, 2023
Organization subpart
Yes
Parent organization
OVERCARE HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Charles Wangui, PMHNPNPI 1861034159
Title
President
Phone
(443) 489-9009

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

2245 Eastern Ave
Baltimore, MD 21231-3113

Mailing address

2245 Eastern Ave
Baltimore, MD 21231-3113
Phone (443) 489-9009

National Provider Directory

National Provider Directory
Tax ID family
Overcare Health Services LLC4 organizations share this tax ID, including this one
Part of
Overcare Health Services LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1124714720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313113",
            "telephone_number": "443-489-9009",
            "fax_number": "443-489-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313113",
            "telephone_number": "443-489-9009",
            "fax_number": "443-489-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERCARE HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OVERCARE HEALTH SERVICES LLC",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "WANGUI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-489-9009",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.