Organization Active NPI

Resilience Healthcare Inc

  • Family Nurse Practitioner
  • Cockeysville, MD
National Provider Identifier
1336867860
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RESILIENCE HEALTHCARE INC
Practice address
50 Scott Adam Rd
Cockeysville, MD 21030-3218
Phone
(443) 330-5551
Fax
(443) 330-5551
NPI assigned
Aug 19, 2022
Last updated
Aug 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Miss Dana Collins, FNP-CNPI 1851038343
Title
Owner
Phone
(443) 330-5551

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

50 Scott Adam Rd
Cockeysville, MD 21030-3218

Mailing address

50 Scott Adam Rd
Cockeysville, MD 21030-3218
Phone (443) 330-5551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220927000542 MD Part B Supplier - Clinic/Group Practice 3577949759 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD; Cockeysville, MD

National Provider Directory

National Provider Directory
Tax ID family
Resilience Health Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4200 Forbes Blvd
Ste 121
Lanham, MD 20706

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1336867860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SCOTT ADAM RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303218",
            "telephone_number": "443-330-5551",
            "fax_number": "443-330-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SCOTT ADAM RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303218",
            "telephone_number": "443-330-5551",
            "fax_number": "443-330-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-330-5551",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.