Active NPI
True Phoenix Community Care, LLC
- Primary Care Clinic/Center
- Parkville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- TRUE PHOENIX COMMUNITY CARE, LLC
- Doing business as
- True Phoenix
True Phoenix Functional Health - Practice address
- 2316 E Joppa Rd Ste 1
Parkville, MD 21234-2808 - Phone
- (443) 793-7220
- Fax
- (443) 687-8705
- NPI assigned
- Jan 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Molaye V Adeleye
- Title
- Cfoo
- Phone
- (443) 793-7220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2316 E Joppa Rd Ste 1
Parkville, MD 21234-2808
Mailing address
2316 E Joppa Rd Ste 1
Parkville, MD 21234-2808
Phone (443) 793-7220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 502149901 | Medicaid | MD |
Other names 2
- True Phoenix
- True Phoenix Functional Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2165318 | True Phoenix Community Care LLC | Certificate of waiver | Apr 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
2808 E Joppa Rd
Lowr
Parkville, MD 21234
Phone (443) 793-7220
2316 E Joppa Rd
Fl 2
Parkville, MD 21234
Phone (443) 793-7220
2316 E Joppa Rd
Parkville, MD 21234
Phone (410) 882-5100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Parkville, MD
- NPI 1205284460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1790249084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2316 E JOPPA RD STE 1",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212342808",
"telephone_number": "443-793-7220",
"fax_number": "443-687-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 E JOPPA RD STE 1",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212342808",
"telephone_number": "443-793-7220",
"fax_number": "443-687-8705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUE PHOENIX COMMUNITY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-30",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "ADELEYE",
"authorized_official_first_name": "MOLAYE",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "CFOO",
"authorized_official_telephone_number": "443-793-7220"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "502149901",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "True Phoenix",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "True Phoenix",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "True Phoenix Functional Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Parkville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.