NPIMap

Organization Active NPI

Faith Health Care Center

  • Health Service Clinic/Center
  • Catonsville, MD
National Provider Identifier
1487935417
Registry record updated Sep 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
W14256937 Issued in MD
Legal business name
FAITH HEALTH CARE CENTER
Practice address
413 Commonwealth Ave
Suite 3
Catonsville, MD 21228-3044
Phone
(443) 904-5129
Fax
(410) 747-4000
NPI assigned
Sep 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2011

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

Authorized official

Name
Mercy FadojuNPI 1962671313
Title
CRNP
Phone
(443) 904-5129

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
Health Service Clinic/Center 261QH0100X W14256937 MD Primary

Addresses

Primary practice location

413 Commonwealth Ave
Suite 3
Catonsville, MD 21228-3044

Mailing address

413 Commonwealth Ave
Catonsville, MD 21228-3044
Phone (443) 904-5129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111028000568 MD Part B Supplier - Clinic/Group Practice 4789857228 Receives reassigned benefits from 5 practitioners
Practice locations: Catonsville, MD

National Provider Directory

National Provider Directory
Tax ID family
Faith Health Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

413 Commonwealth Ave
Ste 3
Catonsville, MD 21228
Phone (443) 904-5129

413 Commonwealth Ave
Ste 1
Catonsville, MD 21228

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315008000000",
    "number": "1487935417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 COMMONWEALTH AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283044",
            "telephone_number": "443-904-5129",
            "fax_number": "410-747-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 COMMONWEALTH AVE",
            "address_2": "SUITE 3",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283044",
            "telephone_number": "443-904-5129",
            "fax_number": "410-747-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-03",
        "last_updated": "2011-09-03",
        "status": "A",
        "authorized_official_last_name": "FADOJU",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "443-904-5129"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "W14256937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; 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.