MAIN HEALTHCARE LLC NPI 1093502817

NPI Information

  • NPI: 1093502817
  • Provider Name: MAIN HEALTHCARE LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 21D2322970
  • Address: 2702 GEARTNER RD
    BALTIMORE, MD
    ZIP 21209
  • Phone: (443) 318-8713

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NPI Details

MAIN HEALTHCARE LLC is a family nurse practitioner in Baltimore, MD. MAIN HEALTHCARE LLC NPI is 1093502817. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2702 GEARTNER RD
BALTIMORE, MD
ZIP 21209-410
Phone: (443) 318-8713
Fax: (443) 870-4919

The provider's authorized official is Hannah Mainstain .
The authorized official title is Owner And Provider and has the following contact phone number (443) 318-8713.

The CLIA number assigned to this NPI record is 21D2322970 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2025 and was last updated on 6/24/2025.

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
1363LF0000XNurse PractitionerFamilyYes

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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