Fresh Fresh Healthcare Agency Security Spo

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

FRESH FRESH HEALTHCARE AGENCY SECURITY SPO

Doing business as

Fresh Fresh Healthcare Agency LLC

Practice address

7604 Vicar PL
New Carrollton, MD 20784-2966

Phone

(202) 823-9346

NPI assigned

Mar 7, 2024

Last updated

Mar 7, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESH FRESH HEALTH CARE AGENCY LLC,As reported in NPPES

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

Authorized official

Name

Andrea K Rodney, PHDNPI 1710637715

Title

Ceo

Phone

(202) 823-9346

Specialties & licenses 1

Addresses

Other names 1

• FRESH FRESH HEALTHCARE AGENCY LLC Doing business as

Part of

Fresh Fresh Health Care Agency LLC

Practitioners 1

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.

• Andrea K Rodney, PHD DOCTORATE

  • Health & Wellness Coach
  • New Carrollton, MD
  • NPI 1710637715
  NPD Authorized official

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1316705064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 VICAR PL",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207842966",
            "telephone_number": "202-823-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 VICAR PL",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207842966",
            "telephone_number": "202-823-9346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7667 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "209125561",
            "country_code": "US",
            "telephone_number": "202-823-9346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 Rock Creek Church Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200101617",
            "country_code": "US",
            "telephone_number": "202-823-9346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRESH FRESH HEALTHCARE AGENCY SECURITY SPO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESH FRESH HEALTH CARE AGENCY LLC,",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "RODNEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-823-9346",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESH FRESH HEALTHCARE AGENCY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Forkwa
• Anyikia F Fortuchang
• Amba Endoh Francis
• Fresh Fresh Health Care Agency LLC,
• Fresh Fresh Health Care Agency LLC, (Fresh Fresh Healthcare Cannabis)
• Fresh Fresh Healthcare Corperation
• Adenjeh Victorine Fuanenya
• Comfort Fosam Funtih
• Donyui Franka Funyui
• Bumlangmia Buma Gabga

• Contractor in New Carrollton, MD
• Providers in New Carrollton, MD by specialty
• Contractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.