Active NPI
Greceannii Healthcare P C
- Gerontology Nurse Practitioner
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- GRECEANNII HEALTHCARE P C
- Practice address
- 7130 Minstrel Way Ste 120
Columbia, MD 21045-5329 - Phone
- (443) 241-7622
- NPI assigned
- Aug 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Max Greceannii
- Title
- Ceo
- Phone
- (314) 922-4937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
7130 Minstrel Way Ste 120
Columbia, MD 21045-5329
Mailing address
7130 Minstrel Way Ste 120
Columbia, MD 21045-5329
Phone (314) 922-4937
Other practice location 1
9416 Falling Waters Ct
Laurel, MD 20723-5973
Phone (314) 922-4937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2276010 | Greceannii Healthcare PC | Certificate of waiver | Jan 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
7130 Minstrel Way
Ste 120
Columbia, MD 21045
Phone (410) 224-6680
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": "1687737600000",
"number": "1356069850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7130 MINSTREL WAY STE 120",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455329",
"telephone_number": "314-922-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7130 MINSTREL WAY STE 120",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455329",
"telephone_number": "443-241-7622"
}
],
"practiceLocations": [
{
"address_1": "9416 Falling Waters Ct",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MD",
"postal_code": "207235973",
"country_code": "US",
"telephone_number": "314-922-4937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GRECEANNII HEALTHCARE P C",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-19",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A",
"authorized_official_last_name": "GRECEANNII",
"authorized_official_first_name": "MAX",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-922-4937"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.