Innovated Health Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

INNOVATED HEALTH CARE LLC

Doing business as

Innovated Health Care LLC

Practice address

1400 Mercantile LN Ste 184
Upper Marlboro, MD 20774-5394

Phone

(301) 777-1555

NPI assigned

Mar 11, 2019

Last updated

Apr 27, 2021By 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

James Akinleye

Title

Manager

Phone

(202) 446-6861

Specialties & licenses 2

Addresses

Other names 1

• Innovated Health Care LLC Doing business as

Locations

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1629536412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 184",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745394",
            "telephone_number": "301-276-2611",
            "fax_number": "301-276-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 184",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745394",
            "telephone_number": "301-777-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATED HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2021-04-27",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "AKINLEYE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-446-6861"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovated Health Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innovated Health Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.