NPIMap

Organization Active NPI

Total Health Care Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, MD
National Provider Identifier
1225857378
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TOTAL HEALTH CARE INC.
Practice address
3540 S Hanover St
Brooklyn, MD 21225-1772
Phone
(410) 383-8300
Fax
(410) 383-3160
NPI assigned
Oct 7, 2024
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Kevin Daniel Bellamy
Title
Ceo
Phone
(410) 735-5265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

3540 S Hanover St
Brooklyn, MD 21225-1772

Mailing address

1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300

Other names 1

  • South Baltimore Health Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250421000984 MD Part A Provider - Federally Qualified Health Center (FQHC) 0446258487 Practice locations: Brooklyn, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225857378. Details of each certification follow.

Federally qualified health center certification: CCN 801012

Legal name
TOTAL HEALTH CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 13, 2025
Last certification
Feb 13, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
3540 S Hanover St
Brooklyn, MD 21225-1772

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2313315South Baltimore Health Center3540 S Hanover Street, Brooklyn, MD 21225Provider-performed microscopyOct 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Total Health Care Inc29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

922 W North Ave
Baltimore, MD 21217
Phone (410) 383-8783

924 W North Ave
Baltimore, MD 21217

2288 Blue Water Blvd
Ste 470
Odenton, MD 21113
Phone (410) 735-5390

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gretchen M Spell Individual Corporate OfficerGovernance Chair Jan 1, 2022
Ashley Archie Individual Corporate OfficerBoard Member Jan 1, 2019
Donnell Henry Individual Corporate OfficerTreasurer Jan 1, 2016
Nichole M Boswell Individual Corporate OfficerSecretary Jan 1, 2018
Kevin D Bellamy Individual Corporate OfficerCeo May 1, 2016 100%
W-2 Managing Employee May 1, 2016 100%
Teneah Lee Individual Corporate OfficerBoard Member Jan 1, 2019
H Duante Duckett Individual Corporate DirectorBoard Chair Jan 1, 2017
Michael Johnson Individual Corporate OfficerBoard Member Jan 1, 2017

Practitioners & affiliated clinicians

Practitioners 111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1225857378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 DIVISION ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173121",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S HANOVER ST",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212251772",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "BELLAMY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-735-5265"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Baltimore Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, MD

Sources for this page

Verify at the official NPI Registry.