Active NPI
Good Health Nutrition Services Inc
- Health Maintenance Organization
- Hyattsville, MD
National Provider Identifier
1972809911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- DX 2507
- Legal business name
- GOOD HEALTH NUTRITION SERVICES INC
- Doing business as
- GOOD HEALTH INC
- Practice address
- 7515 Annapolis Rd Ste 402
Hyattsville, MD 20784-1752 - Phone
- (301) 577-1072
- Fax
- (301) 577-1073
- NPI assigned
- Feb 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Florence Ifeoma Omerennah, D.O,
- Title
- President
- Phone
- (301) 577-1072
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | DX 2507 | MD | Primary |
| Preferred Provider Organization | 305R00000X | DX2507 | MD | |
| Point of Service | 305S00000X | DX2507 | MD |
Addresses
Primary practice location
7515 Annapolis Rd Ste 402
Hyattsville, MD 20784-1752
Mailing address
7515 Annapolis Rd Ste 402
Hyattsville, MD 20784-1752
Phone (301) 577-1072
Other names 1
- GOOD HEALTH INC
National Provider Directory
National Provider DirectoryLocations
7515 Annapolis Rd
Ste 402
Hyattsville, MD 20784
Phone (301) 577-1072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297209600000",
"number": "1972809911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7515 ANNAPOLIS RD STE 402",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207841752",
"telephone_number": "301-577-1072",
"fax_number": "301-577-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7515 ANNAPOLIS RD STE 402",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207841752",
"telephone_number": "301-577-1072",
"fax_number": "301-577-1073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD HEALTH NUTRITION SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-09",
"last_updated": "2011-02-09",
"status": "A",
"authorized_official_last_name": "OMERENNAH",
"authorized_official_first_name": "FLORENCE",
"authorized_official_middle_name": "IFEOMA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-577-1072",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "D.O,"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "MD",
"license": "DX 2507",
"primary": true
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "MD",
"license": "DX2507",
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "MD",
"license": "DX2507",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GOOD HEALTH INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.