Minerva Home Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R3104 Issued in MD

Legal business name

MINERVA HOME HEALTH CARE, INC

Practice address

9120 Chesapeake Ave Ste 201
North Beach, MD 20714-5043

Phone

(240) 603-5025

NPI assigned

Aug 12, 2011

Last updated

Mar 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Folashade E Green, RN

Title

Administrator

Phone

(240) 560-5080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1194004770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 DORSEY RD STE 111",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613276",
            "telephone_number": "240-603-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 CHESAPEAKE AVE STE 201",
            "city": "NORTH BEACH",
            "state": "MD",
            "postal_code": "207145043",
            "telephone_number": "240-603-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Dorsey Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613276",
            "country_code": "US",
            "telephone_number": "240-603-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINERVA HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "FOLASHADE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-560-5080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.