Minerva Rehabilitation Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R3587 Issued in MD

Legal business name

MINERVA REHABILITATION SERVICES

Practice address

2301 Dorsey Rd Ste 111C
Glen Burnie, MD 21061-3299

Phone

(240) 560-5080

Fax

(855) 639-0043

NPI assigned

Mar 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Bunmi Green

Title

Ad

Phone

(240) 560-5080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1629495239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 DORSEY RD STE 111C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613299",
            "telephone_number": "240-560-5080",
            "fax_number": "855-639-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 DORSEY RD STE 111C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613299",
            "telephone_number": "240-560-5080",
            "fax_number": "855-639-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERVA REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BUNMI",
        "authorized_official_title_or_position": "AD",
        "authorized_official_telephone_number": "240-560-5080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah J Miller, CRNP
• Marshall Kyle Mills
• Seah Min
• Ashley Minarik, CSC-AD
• Mindhaven Healthcare Inc
• Ahmad Mines, CRNP
• Tracie Minor
• Minuteclinic LLC
• Mirza M. Nusairee, MD.
• Taylor A Mister, NP

• Home Health Agency in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.