Health Care for Children,LLC
Organization Active NPI Pediatrics Physician · Elkton, MD
NPI 1376599308 · NPPES record last updated Feb 29, 2024
Key facts
- NPI
- 1376599308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- HEALTH CARE FOR CHILDREN,LLC
- Practice address
- 215 North St Ste a
Elkton, MD 21921-5505 - Phone
- (410) 398-8899
- Fax
- (410) 398-1477
- NPI assigned
- May 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Agnes Lopez Daliva, M.D.
- Title
- Physician
- Phone
- (410) 398-8899
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 5
-
Vida Amevinya, CRNP
-
Alex J Hohensee, PA
-
Dina Rea De Leon, MD, MPH
-
Hannah Cristina Dequina, CRNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2109444 | Health Care for Children, LLC | Certificate of waiver | Jul 6, 2027 |
National Provider Directory
- Tax ID family
- Health Care for Childrenllc
Locations
215 North St
Ste A
Elkton, MD 21921
Phone (410) 398-8899
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
215 North St Ste a
Elkton, MD 21921-5505
Mailing address
PO Box 309
Elkton, MD 21922-0309
Phone (410) 398-8899
Other practice location 1
251 Lewis Ln Ste 101
Havre DE Grace, MD 21078-3758
Phone (410) 398-8899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274CHE | Other | MD | CAREFIRST GROUP NUMBER |
| 409020900 | Medicaid | MD |
Other providers in Elkton, MD
- Haven House, Inc .
- Haven House, Inc .
- Kelly Sennett Hawj
- Melissa Hawkins
- HCT Pathology Services LLC
- Health Care for Women P.a.
- Heart of the Hills Home Health Care
- Hearts at Ease Agency LLC
- John Hebeka
- Cheryl Lynne Heck
All providers in Elkton, MD · Pediatrics Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.