Chika Cares Pre-Diabetes Workshop LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CHIKA CARES PRE-DIABETES WORKSHOP LLC

Practice address

St Gabriel Church, 6950 Dogwood Rd
Windsor Mill, MD 21244

Phone

(443) 272-7652

NPI assigned

Nov 22, 2019

Last updated

Nov 22, 2019By 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

Bene Chika Mlemchukwu

Title

Lifestyle Change Coach

Phone

(443) 272-7652

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1265078471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 LANGREHR RD STE 113",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212443068",
            "telephone_number": "443-272-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST GABRIEL CHURCH, 6950 DOGWOOD RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "21244",
            "telephone_number": "443-272-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIKA CARES PRE-DIABETES WORKSHOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "MLEMCHUKWU",
        "authorized_official_first_name": "BENE",
        "authorized_official_middle_name": "CHIKA",
        "authorized_official_title_or_position": "LIFESTYLE CHANGE COACH",
        "authorized_official_telephone_number": "443-272-7652"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Public Health or Welfare Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.