Fresh Fresh Health Care Agency LLC,

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Legal business name

FRESH FRESH HEALTH CARE AGENCY LLC,

Doing business as

Fresh Fresh Healthcare Cannabis

Practice address

7604 Vicar PL
New Carrollton, MD 20784-2966

Phone

(202) 823-9346

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Andrea K Rodney, PHD DR PHYSIOLOGY

Title

Ceo

Phone

(202) 823-9346

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Fresh Fresh Healthcare Cannabis Doing business as

Electronic endpoints 1

Tax ID family

Fresh Fresh Health Care Agency LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fresh Fresh Health Care Agency LLC,

  • Home Health Agency
  • New Carrollton, MD
  • NPI 1528677747
  NPD tax ID

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1750021614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 VICAR PL",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207842966",
            "telephone_number": "202-823-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 VICAR PL",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207842966",
            "telephone_number": "202-823-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH FRESH HEALTH CARE AGENCY LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "RODNEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-823-9346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD DR PHYSIOLOGY"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER LOCATIONS LICENSED",
            "identifier": "W20782660",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Freshfreshhealthcareagencyllc.godaddysites.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Freshfreshhealthcareagencyllc.godaddysites.com",
            "address_1": "7604 Vicar Pl",
            "city": "New Carrollton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207842966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fresh Fresh Healthcare Cannabis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Forkuoh
• Sharon Forkwa
• Anyikia F Fortuchang
• Amba Endoh Francis
• Fresh Fresh Health Care Agency LLC,
• Fresh Fresh Healthcare Agency Security Spo
• Fresh Fresh Healthcare Corperation
• Adenjeh Victorine Fuanenya
• Comfort Fosam Funtih
• Donyui Franka Funyui

• Adult Development & Aging Psychologist in New Carrollton, MD
• Providers in New Carrollton, MD by specialty
• Adult Development & Aging Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.