Grassroots Health Care Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

P09000013502 Issued in FL

Legal business name

GRASSROOTS HEALTH CARE INC

Practice address

7760 Landover Rd
Landover, MD 20785-2135

Phone

(410) 482-4434

Fax

(949) 862-8021

NPI assigned

Apr 21, 2009

Organization subpart

No

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

Authorized official

Name

Folorunso Ibraheem, DNP, MBBS, CFNP

Title

President

Phone

(305) 776-9911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1356585475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 PARKSIDE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207214223",
            "telephone_number": "305-776-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 LANDOVER RD",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207852135",
            "telephone_number": "410-482-4434",
            "fax_number": "949-862-8021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2312 Parkside Dr",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207214223",
            "country_code": "US",
            "telephone_number": "305-776-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRASSROOTS HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "IBRAHEEM",
        "authorized_official_first_name": "FOLORUNSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-776-9911",
        "authorized_official_credential": "DNP, MBBS, CFNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "P09000013502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olabimpe Kolashola Goriola
• Imani Gould
• Grace Nursing Consulting, LLC.
• Andrew Graham
• Teri Grant
• Grassroots Health Care Inc
• Terrence Graves
• Brenda Denise Green, AC0356 CAA-DC
• Lavell Green
• Tiffany Green

• Primary Care Clinic/Center in Landover, MD
• Providers in Landover, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.