WINNERS HEALTHCARE SERVICES LLC NPI 1306597810

NPI Information

NPI: 1306597810
Provider Name: WINNERS HEALTHCARE SERVICES LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
6600 YORK RD STE 112
BALTIMORE, MD
ZIP 21212
Phone: (410) 903-9206
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WINNERS HEALTHCARE SERVICES LLC is a rehabilitation and substance use disorder clinic center in Baltimore, MD. WINNERS HEALTHCARE SERVICES LLC NPI is 1306597810. The provider is registered as an organization entity type.

The provider's business location address is:

6600 YORK RD STE 112
BALTIMORE, MD
ZIP 21212-029
Phone: (410) 903-9206

The provider's authorized official is Jumoke Fadeke Omisore .
The authorized official title is Medical Director and has the following contact phone number (410) 903-9206.

The enumeration date for this NPI number is 1/17/2022 and was last updated on 1/17/2022.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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	799694200	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: 4/28/2024

NPI Synchronization or Removal

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