NPIMap

Organization Active NPI

Total Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
National Provider Identifier
1881087336
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TOTAL HEALTH CARE INC
Practice address
200 E 33Rd St Ste 265
Baltimore, MD 21218-3377
Phone
(410) 383-8300
Fax
(410) 383-3160
NPI assigned
Mar 9, 2015
Last updated
Feb 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Kevin D Bellamy
Title
Ceo
Phone
(410) 728-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

200 E 33Rd St Ste 265
Baltimore, MD 21218-3377

Mailing address

1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300

Other practice location 1

200 E 33rd St
Bauernschmidt Bldg Suite 265
Baltimore, MD 21218-3322
Phone (410) 383-8300

Other identifiers 2

IdentifierTypeStateIssuer
211900OtherMDMEDICARE
905611400MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071107000802 MD Part B Supplier - Clinic/Group Practice 0446258487 Receives reassigned benefits from 107 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Odenton, MD; Brooklyn, MD; Baltimore, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881087336. Details of each certification follow.

  • CCN 211900 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 211900

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TOTAL HEALTH CARE AT UNION MEMORIAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 19, 2015
Last certification
Jun 19, 2015
Ownership / control type
For profit – corporation
Facility address
200 E 33Rd Street #265
Baltimore, MD 21218

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

200 E 33rd St
Ste 265
Baltimore, MD 21218
Phone (410) 889-6639

Practitioners & affiliated clinicians

Practitioners 2

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": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1881087336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 DIVISION ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173121",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST STE 265",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183377",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E 33rd St",
            "address_2": "Bauernschmidt Bldg Suite 265",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212183322",
            "country_code": "US",
            "telephone_number": "410-383-8300",
            "fax_number": "410-735-5352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOTAL HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "BELLAMY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-728-4090"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "211900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "905611400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.