Christian Healthcare of MD LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R2960 Issued in MD

Legal business name

CHRISTIAN HEALTHCARE OF MD LLC

Practice address

12947 Harford Rd
Hydes, MD 21082-9503

Phone

(410) 592-7270

NPI assigned

Oct 24, 2016

Last updated

Oct 24, 2016By 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

Janine Wissinger

Title

President

Phone

(443) 804-3408

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1679024772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12947 HARFORD RD",
            "city": "HYDES",
            "state": "MD",
            "postal_code": "210829503",
            "telephone_number": "410-592-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12947 HARFORD RD",
            "city": "HYDES",
            "state": "MD",
            "postal_code": "210829503",
            "telephone_number": "410-592-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HEALTHCARE OF MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "WISSINGER",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-804-3408"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2996031-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Douglas Diem
• Hyperheal Hyperbarics L.L.C
• Carrie Margaret Lipchin, MPT
• Terri Ellen Powers, RN
• Specific Chiropractic, P.C.

• Home Health Agency in Hydes, MD
• Providers in Hydes, 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 Oct 24, 2016; 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.