Active NPI
Push Health and Wellness, LLC
- Community/Behavioral Health Agency
- Salisbury, MD
National Provider Identifier
1407562911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PUSH HEALTH AND WELLNESS, LLC
- Practice address
- 1321 Mount Hermon Rd # C-1
Salisbury, MD 21804-5302 - Phone
- (443) 736-8691
- NPI assigned
- Jan 27, 2023
- 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
- Mr. Kenneth T Collins
- Title
- Co-Owner
- Phone
- (443) 690-8029
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1321 Mount Hermon Rd # C-1
Salisbury, MD 21804-5302
Mailing address
1321 Mount Hermon Rd # C-1
Salisbury, MD 21804-5302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22111353 | Other | MD | BHA LICENSE NUMBER -PRP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kcollins@pushhw.com |
National Provider Directory
National Provider Directory- Tax ID family
- Push Health and Wellness LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Salisbury, MD
- NPI 1023720349
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Salisbury, MD
- NPI 1114633617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674777600000",
"number": "1407562911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 MOUNT HERMON RD # C-1",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 MOUNT HERMON RD # C-1",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045302",
"telephone_number": "443-736-8691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUSH HEALTH AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-27",
"last_updated": "2023-01-27",
"certification_date": "2023-01-20",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "443-690-8029",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BHA LICENSE NUMBER -PRP",
"identifier": "22111353",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kcollins@pushhw.com",
"affiliation": "N",
"address_1": "1321 Mount Hermon Rd # C-1",
"city": "Salisbury",
"state": "MD",
"country_code": "US",
"postal_code": "218045302",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.