Organization Active NPI

Forward Healthcare LLC

Doing business as Forward Healthcare

  • Sleep Disorder Diagnostic Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1194110387
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
FORWARD HEALTHCARE LLC
Doing business as
Forward Healthcare
Practice address
9419 Common Brook Rd Ste 214
Owings Mills, MD 21117-7570
Phone
(443) 213-5595
Fax
(443) 213-5763
NPI assigned
Apr 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Sheila Roberson
Title
Cco
Phone
(480) 528-2609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

9419 Common Brook Rd Ste 214
Owings Mills, MD 21117-7570

Mailing address

9419 Common Brook Rd Ste 212
Owings Mills, MD 21117-7570

Other names 1

  • Forward Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170802001908 MD Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7618248154 Practice locations: Owings Mills, MD

National Provider Directory

National Provider Directory

Locations

9419 Common Brook Rd
Ste 214
Owings Mills, MD 21117
Phone (443) 213-5595

Practitioners & affiliated clinicians

Practitioners 2

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": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1194110387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9419 COMMON BROOK RD STE 212",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211177570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9419 COMMON BROOK RD STE 214",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211177570",
            "telephone_number": "443-213-5595",
            "fax_number": "443-213-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "480-528-2609"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forward Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.