NPIMap

Organization Active NPI

Caring Hands Medical Clinic LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1841805405
Registry record updated Nov 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CARING HANDS MEDICAL CLINIC LLC
Practice address
14333 Laurel Bowie Rd Ste 204
Laurel, MD 20708-1179
Phone
(240) 241-4989
Fax
(301) 477-1976
NPI assigned
Sep 10, 2020
Last updated
Nov 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2021

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

Authorized official

Name
Elizabeth Ebei NdikaNPI 1730565599
Title
DNP
Phone
(240) 241-4989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

14333 Laurel Bowie Rd Ste 204
Laurel, MD 20708-1179

Mailing address

14333 Laurel Bowie Rd Ste 204
Laurel, MD 20708-1179
Phone (240) 241-4989

Other identifiers 1

IdentifierTypeStateIssuer
987604900MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Caring Hands Medical Clinic 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.

Locations

14333 Laurel Bowie Rd
Ste 204
Laurel, MD 20708
Phone (240) 241-4989

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637366400000",
    "number": "1841805405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD STE 204",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081179",
            "telephone_number": "240-241-4989",
            "fax_number": "301-477-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD STE 204",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081179",
            "telephone_number": "240-241-4989",
            "fax_number": "301-477-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HANDS MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2021-11-20",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "NDIKA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "EBEI",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "240-241-4989"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "987604900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.