Organization Active NPI

Good Health Nutrition Services Inc

  • Health Maintenance Organization
  • Hyattsville, MD
National Provider Identifier
1972809911
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
DX 2507 Issued in MD
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

Updated by the provider on Feb 9, 2011

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.