NPIMap

Organization Active NPI

Hisc Wellness 360

  • Case Management Agency
  • Bowie, MD
National Provider Identifier
1801320395
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HISC WELLNESS 360
Practice address
14001 Tollison Drive
Bowie, MD 20720
Phone
(301) 452-2599
NPI assigned
Apr 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Ms. Donna MP Wilson, ESQ.
Title
Chief Operating Officer
Phone
(301) 452-2599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

14001 Tollison Drive
Bowie, MD 20720

Mailing address

14001 Tollison Drive
Bowie, MD 20720
Phone (301) 452-2599

Other names 1

  • Wellness 360 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1801320395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 TOLLISON DRIVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20720",
            "telephone_number": "301-452-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 TOLLISON DRIVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20720",
            "telephone_number": "301-452-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISC WELLNESS 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MP",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "301-452-2599",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness 360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.