NPIMap

Organization Active NPI

Johnny Cares Inc

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1962899955
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
JOHNNY CARES INC
Doing business as
Waverly Health & Fitness Center
Practice address
3028 Greenmount Ave
Baltimore, MD 21218-3938
Phone
(410) 467-6040
Fax
(410) 467-5944
NPI assigned
Apr 17, 2015
Organization subpart
Yes
Parent organization
JOHNNY CARES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Mr. William Green
Title
Managing Agent
Phone
(410) 467-6040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

3028 Greenmount Ave
Baltimore, MD 21218-3938

Mailing address

1734 Maryland Ave
Baltimore, MD 21201-5804
Phone (410) 467-6040

Other names 1

  • Waverly Health & Fitness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Johnny Cares Inc3 organizations share this tax ID, including this one
Part of
Johnny Cares Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1962899955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015804",
            "telephone_number": "410-467-6040",
            "fax_number": "410-467-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 GREENMOUNT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183938",
            "telephone_number": "410-467-6040",
            "fax_number": "410-467-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY CARES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNNY CARES INC",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING AGENT",
        "authorized_official_telephone_number": "410-467-6040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waverly Health & Fitness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.