Active NPI
First Care Family Clinic LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ellicott City, MD
National Provider Identifier
1508627563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- FIRST CARE FAMILY CLINIC LLC
- Practice address
- 3237A Corporate CT
Ellicott City, MD 21042-2247 - Phone
- (410) 680-8354
- Fax
- (443) 592-9057
- NPI assigned
- Jan 17, 2024
- 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
- Adetola Oyekan
- Title
- Provider
- Phone
- (410) 680-8354
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3237A Corporate CT
Ellicott City, MD 21042-2247
Mailing address
3237A Corporate CT
Ellicott City, MD 21042-2247
Phone (410) 680-8354
National Provider Directory
National Provider DirectoryLocations
3237A Corporate Ct
Ellicott City, MD 21042
Phone (410) 680-8354
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Ellicott City, MD
- NPI 1255962510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705449600000",
"number": "1508627563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3237A CORPORATE CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210422247",
"telephone_number": "410-680-8354",
"fax_number": "443-592-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3237A CORPORATE CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210422247",
"telephone_number": "410-680-8354",
"fax_number": "443-592-9057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CARE FAMILY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-17",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A",
"authorized_official_last_name": "OYEKAN",
"authorized_official_first_name": "ADETOLA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "410-680-8354"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.