ROSE GODWIN SUPPORT SERVICES INC NPI 1053890111

NPI Information

  • NPI: 1053890111
  • Provider Name: ROSE GODWIN SUPPORT SERVICES, INC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 11226 CHERRY HILL RD APT 302
    BELTSVILLE, MD
    ZIP 20705
  • Phone: (301) 907-1700

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NPI Details

ROSE GODWIN SUPPORT SERVICES, INC is a psychiatric/mental health nurse practitioner in Beltsville, MD. ROSE GODWIN SUPPORT SERVICES, INC NPI is 1053890111. The provider is registered as an organization entity type.

The provider's business location address is:

11226 CHERRY HILL RD APT 302
BELTSVILLE, MD
ZIP 20705-831
Phone: (301) 907-1700
Fax: (877) 714-8747

The provider's authorized official is Ayo Okoro .
The authorized official title is President and has the following contact phone number (301) 907-1700.

The enumeration date for this NPI number is 8/9/2018 and was last updated on 2/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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