JUBILEE HEALTH VENTURES LLC NPI 1285215764

NPI Information

NPI: 1285215764
Provider Name: JUBILEE HEALTH VENTURES, LLC
Classification: Registered Nurse - 163WA2000X
Entity Type: Organization

Specialization: Administrator

Address:
4637 COLONEL FENWICK PL
UPPER MARLBORO, MD
ZIP 20772
Phone: (240) 299-3987
Get Directions

JUBILEE HEALTH VENTURES, LLC is an administrator registered nurse in Upper Marlboro, MD. JUBILEE HEALTH VENTURES, LLC NPI is 1285215764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4637 COLONEL FENWICK PL
UPPER MARLBORO, MD
ZIP 20772-924
Phone: (240) 299-3987
Fax: (240) 339-1947

The provider's authorized official is Olivia Onyechi .
The authorized official title is Administrator and has the following contact phone number (240) 510-3331.

The enumeration date for this NPI number is 4/16/2021 and was last updated on 5/3/2021.

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
1	163WA2000X	Registered Nurse	Administrator			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	899033600	MEDICAID	MARYLAND

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »