Guardian Community Health Clinic
LBN: Nesburg Inc.
Guardian Community Health Clinic is an health care organization with primary practice located at 11240 Reisterstown Rd Suite C-5, Owings Mills MD 21117-1965. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty.
Nesburg Inc. can be contacted via phone (410) 800-4572, or through Obatuase, Abiola Olakitan via phone (443) 722-0954.
Contact Information
Primary practice address
11240 Reisterstown Rd Suite C-5
Owings Mills MD 21117-1965
Phone: (410) 800-4572
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | R3420 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1649511973 |
|---|---|
| LBN Legal business name | Nesburg Inc. |
| DBA Doing business as | Guardian Community Health Clinic |
| Authorized official | Obatuase, Abiola Olakitan CRNP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2013 |
| Last updated | Jan 11th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649511973 | NPPES |
| Maryland | MEDICAID | 5222400300 |
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