NPIMap

Organization Active NPI

Total Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
National Provider Identifier
1972597425
Registry record updated Oct 17, 2024
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
1501 Division St
Baltimore, MD 21217-3121
Phone
(410) 383-8300
Fax
(410) 383-3160
NPI assigned
Sep 9, 2005
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

1501 Division St
Baltimore, MD 21217-3121

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
905611400MedicaidMD

Other names 1

  • Division Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20070203000121 MD Part A Provider - Federally Qualified Health Center (FQHC) 0446258487 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD
O20070203000128 MD Part A Provider - Federally Qualified Health Center (FQHC) 0446258487 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD
O20070203000131 MD Part A Provider - Federally Qualified Health Center (FQHC) 0446258487 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD
O20070203000138 MD Part A Provider - Federally Qualified Health Center (FQHC) 0446258487 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD
O20070213000137 MD Part A Provider - Federally Qualified Health Center (FQHC) 0446258487 Practice locations: Baltimore, MD
O20071107000802 MD Part B Supplier - Clinic/Group Practice 0446258487 Receives reassigned benefits from 107 practitioners
10 other NPIs on this enrollment
Practice locations: Odenton, MD; Brooklyn, MD; Baltimore, MD
O20080602000637 MD Part A Provider - Federally Qualified Health Center (FQHC) 0446258487 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD

NPI to CCN mapping 6

The Medicare certification numbers (CCNs) connected to NPI 1972597425. Details of each certification follow.

Federally qualified health center certification: CCN 211857

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
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1989 in MD
Enrollment address
2401 Liberty Heights Ave
Baltimore, MD 21215-8019

Federally qualified health center certification: CCN 211858

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
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1989 in MD
Enrollment address
2400 Kirk Ave
Baltimore, MD 21218-5507

Federally qualified health center certification: CCN 211859

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
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1989 in MD
Enrollment address
1501 W Saratoga St
Baltimore, MD 21223-1749

Federally qualified health center certification: CCN 211861

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
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1989 in MD
Enrollment address
1111 Washington Blvd
Baltimore, MD 21230-1824

Federally qualified health center certification: CCN 211804

Legal name
TOTAL HEALTH CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1989 in MD
Enrollment address
1501 Division St
Baltimore, MD 21217-3121

Federally qualified health center certification: CCN 211869

Legal name
TOTAL HEALTH CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 22, 2008
Last certification
Jul 22, 2008
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Jun 30, 1989 in MD
Enrollment address
2449 Frederick Ave
Baltimore, MD 21223-2856

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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

2400 Kirk Ave
Baltimore, MD 21218
Phone (410) 243-1800

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gretchen M Spell Individual Corporate OfficerGovernance President Jan 1, 2016
Corporate OfficerGovernance President Jan 1, 2023
Corporate OfficerGovernance Chair Apr 2, 2011
Ashley Archie Individual Corporate OfficerBoard Member Jan 1, 2023
Corporate OfficerBoard Member Jan 1, 2019
Donnell Henry Individual Corporate OfficerTreasurer Jan 1, 2023
Nichole M Boswell Individual Corporate OfficerSecretary Jan 1, 2023
Corporate OfficerSecretary Jan 1, 2018
Kevin D Bellamy Individual Corporate OfficerCeo Jan 1, 2018 100%
W-2 Managing EmployeeCeo Jan 1, 2018 100%
Teneah Lee Individual Corporate OfficerBoard Member Jan 1, 2023
Corporate OfficerBoard Member Jan 1, 2019
H Duante Duckett Individual Corporate OfficerBoard Chair Jan 1, 2023
Corporate OfficerBoard Chair Jan 1, 2017
Michael Johnson Individual Corporate OfficerBoard Member Jan 1, 2023
Corporate OfficerBoard Member Jan 1, 2017

Practitioners & affiliated clinicians

Practitioners 109

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.

View all 109

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1972597425",
    "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": "1501 DIVISION ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173121",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "905611400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Division Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.