NPIMap

Organization Active NPI

Fave Support Services NJ Inc

  • Health Service Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1891394904
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FAVE SUPPORT SERVICES NJ INC
Doing business as
Fave Support Services NJ Inc
Practice address
4705 Creekside Cir Apt 304
Owings Mills, MD 21117-6935
Phone
(410) 370-0793
NPI assigned
Oct 20, 2020
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Olalekan Oyeyemi Osinkolu
Title
Ceo
Phone
(410) 370-0793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4705 Creekside Cir Apt 304
Owings Mills, MD 21117-6935

Mailing address

4705 Creekside Cir Apt 304
Owings Mills, MD 21117-6935
Phone (410) 370-0793

Other identifiers 1

IdentifierTypeStateIssuer
7896540MedicaidNJ

Other names 1

  • FAVE SUPPORT SERVICES NJ INC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kingfisher.in@yahoo.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1891394904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 CREEKSIDE CIR APT 304",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176935",
            "telephone_number": "410-370-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 CREEKSIDE CIR APT 304",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176935",
            "telephone_number": "410-370-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVE SUPPORT SERVICES NJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "OSINKOLU",
        "authorized_official_first_name": "OLALEKAN",
        "authorized_official_middle_name": "OYEYEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-370-0793"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7896540",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kingfisher.in@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "kingfisher.inc@yahoo.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4705 Creekside Cir Apt 304",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211176935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FAVE SUPPORT SERVICES NJ INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.