Organization Active NPI

Advance Mobile Health Solutions

  • Assisted Living Facility
  • Parkville, MD
National Provider Identifier
1396239299
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
R194854 Issued in MD
Legal business name
ADVANCE MOBILE HEALTH SOLUTIONS
Practice address
1374 Halstead Rd
Parkville, MD 21234-6006
Phone
(240) 722-9763
NPI assigned
Jun 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Authorized official

Name
Adetimbo Adediran, CRNPNPI 1679922298
Title
Family Nurse Practitioner
Phone
(240) 722-9763

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X R194854 MD Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R194854 MD

Addresses

Primary practice location

1374 Halstead Rd
Parkville, MD 21234-6006

Mailing address

14028 Vista Dr
Laurel, MD 20707-6845
Phone (240) 722-9763

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1396239299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14028 VISTA DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076845",
            "telephone_number": "240-722-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 HALSTEAD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212346006",
            "telephone_number": "240-722-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MOBILE HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "ADEDIRAN",
        "authorized_official_first_name": "ADETIMBO",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-722-9763",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "R194854",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R194854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.