NPIMap

Organization Active NPI

Total Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
National Provider Identifier
1942295423
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
922 W North Ave
Baltimore, MD 21217-3940
Phone
(410) 383-8300
Fax
(410) 383-3160
NPI assigned
Sep 12, 2005
Reactivated
Feb 7, 2011
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 NU Primary

Addresses

Primary practice location

922 W North Ave
Baltimore, MD 21217-3940

Mailing address

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

Other practice location 1

922 W North Ave
Baltimore, MD 21217-3940
Phone (410) 383-8300

Other identifiers 1

IdentifierTypeStateIssuer
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 1942295423. Details of each certification follow.

  • CCN 211856 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 211856

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, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 30, 2007
Last certification
Mar 30, 2007
Ownership / control type
For profit – corporation
Facility address
922 West North Ave
Baltimore, MD 21217

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

922 W North Ave
Baltimore, MD 21217
Phone (410) 383-8783

Practitioners & affiliated clinicians

Practitioners 7

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": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1942295423",
    "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": "922 W NORTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173940",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "922 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212173940",
            "country_code": "US",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-1356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOTAL HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2018-02-13",
        "deactivation_date": "2007-04-04",
        "reactivation_date": "2011-02-07",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "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.