True Phoenix

LBN: True Phoenix Community Care, Llc
True Phoenix is an health care organization with primary practice located at 2316 E Joppa Rd , Parkville MD 21234-2808. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. True Phoenix Community Care, Llc can be contacted via phone (443) 793-7220, or through Beatty, Jinaya S via phone (443) 793-7220.

Contact Information

Primary practice address
2316 E Joppa Rd Parkville MD 21234-2808
Fax: (443) 687-8705
Website:
Authorized official contact:
Name: Beatty, Jinaya S DNP, CRNP, FNP-BC

Health care specialties

Profile Details

NPI number 1790249084
LBN Legal business name True Phoenix Community Care, Llc
DBA Doing business as True Phoenix
Authorized official Beatty, Jinaya S DNP, CRNP, FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2019
Last updated Jul 2nd, 2024 - about 5 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790249084 NPPES
Maryland MEDICAID 502149901

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