Mahanaim Wellness Center & IV Hydration Lounge

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MAHANAIM WELLNESS CENTER & IV HYDRATION LOUNGE

Practice address

5020 Sunnyside Ave
Beltsville, MD 20705-2307

Phone

(301) 304-1751

NPI assigned

Jan 3, 2024

Last updated

Apr 22, 2024By 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

Jasseth Taylor-Palmer, CRNP-BC

Title

Ceo

Phone

(609) 906-8167

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1588434484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 SUNNYSIDE AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052307",
            "telephone_number": "301-304-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 SUNNYSIDE AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052307",
            "telephone_number": "301-304-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHANAIM WELLNESS CENTER & IV HYDRATION LOUNGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-PALMER",
        "authorized_official_first_name": "JASSETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-906-8167",
        "authorized_official_credential": "CRNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariama Magona
• Khalia Magruder
• Ramsey Mahaffey
• Mahanaim Wellness Center & IV Hydration Lounge
• Mahanaim Wellness Center & IV Hydration Lounge
• Vanessa Nkwetad Makamte
• Novelette Malcolm
• Jessica Ann Maldonado, DOULA
• Arianna Malik, DDS
• Mona Malik

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.