Healthy Generations Comprehensive Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HEALTHY GENERATIONS COMPREHENSIVE CARE LLC

Practice address

7850 Rossville Blvd Ste 210
Nottingham, MD 21236-3934

Phone

(443) 961-6164

NPI assigned

Sep 21, 2020

Last updated

Oct 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shavon Trenice Darden, PHD, CRNPNPI 1972502680

Title

Provider

Phone

(443) 961-6164

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23156/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shavon Trenice Darden, CRNP, PHD

  • Nurse Practitioner
  • Baltimore, MD
  • NPI 1972502680
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1417563883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 DULANEY VALLEY RD STE 259",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045109",
            "telephone_number": "443-961-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 ROSSVILLE BLVD STE 210",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363934",
            "telephone_number": "443-961-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY GENERATIONS COMPREHENSIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "DARDEN",
        "authorized_official_first_name": "SHAVON",
        "authorized_official_middle_name": "TRENICE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "443-961-6164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, CRNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.