Medhaven Health LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MEDHAVEN HEALTH LLC

Doing business as

MedHaven LLC

Practice address

7310 Ritchie Hwy Ste 519
Glen Burnie, MD 21061-3099

Phone

(240) 515-6550

NPI assigned

Jun 17, 2022

Last updated

Nov 27, 2023By 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

Oluwakemi F BalogunNPI 1962963389

Title

CRNP

Phone

(240) 515-6550

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MedHaven LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oluwakemi F Balogun

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1962963389

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Rose Conslata Oyugi Okowa, FNP-C

  • Family Nurse Practitioner
  • Clinton, MD
  • NPI 1528803673
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1710618152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY STE 519",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613099",
            "telephone_number": "240-515-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY STE 519",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613099",
            "telephone_number": "240-515-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDHAVEN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "BALOGUN",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "240-515-6550"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962963389",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedHaven LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedHaven LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alejandria Meadows, PA-C
• Marcus Lavelle Meadows, O.D.
• Rosemarie Meagher, M.A. CCC-SLP
• Meaning-Full Counseling & Consulting, LLC
• Courtnay Mecca, MS, CNS, LDN
• Xiomara V Medina, LGPC
• Elaine Roberta Medlin
• Medmart Inc
• Medmart Therapeutic LLC
• Medstar Harbor Health

• Health Service Clinic/Center in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.