Organization Active NPI

GHW Essential Wellcare Inc

  • Health Service Clinic/Center
  • Hempstead, NY
National Provider Identifier
1528660875
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
GHW ESSENTIAL WELLCARE INC
Practice address
122 Hamilton Rd
Hempstead, NY 11550-4637
Phone
(516) 456-8214
NPI assigned
Nov 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Dr. Charmaine Gentles, DNPNPI 1902992787
Title
President
Phone
(516) 456-8214

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 Primary

Addresses

Primary practice location

122 Hamilton Rd
Hempstead, NY 11550-4637

Mailing address

122 Hamilton Rd
Hempstead, NY 11550-4637

Other names 1

  • Gentles Healthy Ways Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hempstead

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220330000015 NY Part B Supplier - Clinic/Group Practice 3274929310 Receives reassigned benefits from 1 practitioner
Practice locations: Hempstead, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1528660875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HAMILTON RD",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HAMILTON RD",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504637",
            "telephone_number": "516-456-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHW ESSENTIAL WELLCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "GENTLES",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-456-8214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hempstead",
            "affiliation": "N",
            "address_1": "122 Hamilton Rd",
            "city": "Hempstead",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115504637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gentles Healthy Ways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.