Greatwaygroup LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREATWAYGROUP LLC

Practice address

1815 Mitchellville Rd
Bowie, MD 20716-1541

Phone

(202) 710-5665

NPI assigned

Jan 1, 2021

Organization subpart

Yes

Parent organization

GREATWAYGROUP LLCAs reported in NPPES

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

Authorized official

Name

Mr. Wasiu O YusufNPI 1841888203

Title

President

Phone

(202) 710-5665

Specialties & licenses 8

Addresses

Part of

Greatwaygroup LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wasiu O Yusuf Sr.

  • In Home Supportive Care Agency
  • Bowie, MD
  • NPI 1841888203
  NPD Authorized official

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609459200000",
    "number": "1750979118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 MITCHELLVILLE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161541",
            "telephone_number": "202-710-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 MITCHELLVILLE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161541",
            "telephone_number": "202-710-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATWAYGROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATWAYGROUP LLC",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-01",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "WASIU",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-710-5665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erayna Poles Grant, CRNP
• Patrick Jacque Graux, D.C.
• Erick Alan Gray, O.D.
• Jamia Gray
• Peyton Gray
• Akiel-Tyler Green
• Anayah Milan Green
• Crystal Michelle Green
• Jahdae Tyriel Green
• Kelly M Green, RD

• Community/Behavioral Health Agency in Bowie, MD
• Providers in Bowie, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.