Mahanaim Wellness Center & IV Hydration Lounge

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MAHANAIM WELLNESS CENTER & IV HYDRATION LOUNGE

Practice address

5020 Sunnyside Ave Ste 202
Beltsville, MD 20705-2307

Phone

(301) 304-1751

Fax

(667) 300-2747

NPI assigned

Jun 25, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Jasseth Manneisa Taylor-Palmer

Title

Health Educator

Phone

(301) 304-1751

Specialties & licenses 1

Addresses

Tax ID family

Mahanaim Wellness Center IV Hydration Lounge2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mahanaim Wellness Center & IV Hydration Lounge

  • Health Educator
  • Beltsville, MD
  • NPI 1265276109
  NPD tax ID

Locations

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1386489029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 SUNNYSIDE AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052307",
            "telephone_number": "301-304-1751",
            "fax_number": "667-300-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 SUNNYSIDE AVE STE 202",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052307",
            "telephone_number": "301-304-1751",
            "fax_number": "667-300-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHANAIM WELLNESS CENTER & IV HYDRATION LOUNGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-PALMER",
        "authorized_official_first_name": "JASSETH",
        "authorized_official_middle_name": "MANNEISA",
        "authorized_official_title_or_position": "HEALTH EDUCATOR",
        "authorized_official_telephone_number": "301-304-1751",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joselito Duran Magday, MD
• Mariama Magona
• Khalia Magruder
• Ramsey Mahaffey
• Mahanaim Wellness Center & IV Hydration Lounge
• Mahanaim Wellness Center & IV Hydration Lounge
• Vanessa Nkwetad Makamte
• Novelette Malcolm
• Jessica Ann Maldonado, DOULA
• Arianna Malik, DDS

• Health Service Clinic/Center in Beltsville, MD
• Providers in Beltsville, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.