Delta Health and Wellness Consulting, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DELTA HEALTH AND WELLNESS CONSULTING, LLC

Doing business as

Generational Health Center

Practice address

14526 Church St
Upper Marlboro, MD 20772-3040

Phone

(301) 304-4939

Fax

(301) 327-1749

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Yolandra E Hancock, MD

Title

Owner/Attending Physician

Phone

(301) 304-4939

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Generational Health Center Doing business as

Locations

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1205590932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14526 CHURCH ST",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723040",
            "telephone_number": "301-304-4939",
            "fax_number": "301-327-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14526 CHURCH ST",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723040",
            "telephone_number": "301-304-4939",
            "fax_number": "301-327-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH AND WELLNESS CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "YOLANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "301-304-4939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5888180",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343671300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62727379",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generational Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jericho De Mata, D.O.
• Shayla Denise Deal, DDS
• Debiyke Health Services Inc
• Mariama K Deen
• Derek Deh
• Nicole A Deluca, FNP-C
• Imani Dendy
• Zamaiah Danesha Denis
• Katrea Denson, LICSW
• Dentistry for Children of Maryland, LLC

• Pediatrics Physician in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.