NPIMap

Organization Active NPI

Bellcare, LLC

  • Health Service Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1235749557
Registry record updated Aug 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BELLCARE, LLC
Practice address
7836 Oakwood Rd Ste a
Glen Burnie, MD 21061-4298
Phone
(410) 768-6011
NPI assigned
Aug 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2020

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

Authorized official

Name
Mr. Jimmy Akanbi Bello, CRNPNPI 1982112843
Title
Ceo/Owner
Phone
(301) 792-0613

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

7836 Oakwood Rd Ste a
Glen Burnie, MD 21061-4298

Mailing address

12101 Gordon Ave
Beltsville, MD 20705-1173

National Provider Directory

National Provider Directory

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": "1596240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596240000000",
    "number": "1235749557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 GORDON AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7836 OAKWOOD RD STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614298",
            "telephone_number": "410-768-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-01",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "AKANBI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "301-792-0613",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; 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.