NPIMap

Organization Active NPI

Freshair Health Services LLC

  • Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1417601238
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FRESHAIR HEALTH SERVICES LLC
Practice address
28 Tollgate Rd
Owings Mills, MD 21117-3348
Phone
(832) 434-8900
NPI assigned
Feb 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Grace Emasealu, DNPNPI 1619279502
Title
CRNP-PMH, CRNP-Adult
Phone
(832) 434-8900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

28 Tollgate Rd
Owings Mills, MD 21117-3348

Mailing address

5004 Honeygo Center Dr Ste 102
Perry Hall, MD 21128-8964
Phone (832) 434-8900

Other names 1

  • FreshAir Health Services LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220325002237 MD Part B Supplier - Clinic/Group Practice 7810382926 Receives reassigned benefits from 2 practitioners
Practice locations: Owings Mills, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1417601238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 HONEYGO CENTER DR STE 102",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211288964",
            "telephone_number": "832-434-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 TOLLGATE RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173348",
            "telephone_number": "832-434-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESHAIR HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "EMASEALU",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CRNP-PMH, CRNP-ADULT",
        "authorized_official_telephone_number": "832-434-8900",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FreshAir Health Services LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FreshAir Health Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.