Organization Active NPI

True Phoenix Community Care, LLC

  • Primary Care Clinic/Center
  • Parkville, MD
National Provider Identifier
1790249084
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Jul 30, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
502149901MedicaidMD

Other names 2

  • True Phoenix Doing business as
  • True Phoenix Functional Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190314002465 MD Part B Supplier - Clinic/Group Practice 5991045668 Receives reassigned benefits from 1 practitioner
Practice locations: Parkville, MD

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2165318True Phoenix Community Care LLC2316 E Joppa Rd Ste 1, Parkville, MD 21234Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.