Mahanaim Wellness Center & IV Hydration Lounge

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

MAHANAIM WELLNESS CENTER & IV HYDRATION LOUNGE

Practice address

5020 Sunnyside Ave Ste 202
Beltsville, MD 20705-2307

Phone

(301) 304-1751

Fax

(667) 300-2747

NPI assigned

Jun 25, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Jasseth Manneisa Taylor-PalmerNPI 1720661358

Title

DPP Health Coach

Phone

(609) 906-8167

Specialties & licenses 1

Addresses

Tax ID family

Mahanaim Wellness Center IV Hydration Lounge2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mahanaim Wellness Center & IV Hydration Lounge

  • Health Service Clinic/Center
  • Beltsville, MD
  • NPI 1386489029
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasseth Manneisa Taylor-Palmer, WHNP-BC

  • Women's Health Nurse Practitioner
  • Hollow Rock, TN
  • NPI 1720661358
  NPD (past) Authorized official

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1265276109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12521 MARIE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 SUNNYSIDE AVE STE 202",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052307",
            "telephone_number": "301-304-1751",
            "fax_number": "667-300-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHANAIM WELLNESS CENTER & IV HYDRATION LOUNGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-PALMER",
        "authorized_official_first_name": "JASSETH",
        "authorized_official_middle_name": "MANNEISA",
        "authorized_official_title_or_position": "DPP HEALTH COACH",
        "authorized_official_telephone_number": "609-906-8167",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonelle Mafegue Kenne
• Joselito Duran Magday, MD
• Mariama Magona
• Khalia Magruder
• Ramsey Mahaffey
• Mahanaim Wellness Center & IV Hydration Lounge
• Mahanaim Wellness Center & IV Hydration Lounge
• Vanessa Nkwetad Makamte
• Novelette Malcolm
• Jessica Ann Maldonado, DOULA

• Health Educator in Beltsville, MD
• Providers in Beltsville, MD by specialty
• Health Educator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.