| Brittney's Heart | |
|
5310 Old Court Rd Ste 205 Randallstown MD 21133-6201 | |
| (410) 496-6630 | |
| (410) 496-6631 |
| Full Name | Brittney's Heart |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5310 Old Court Rd Ste 205, Randallstown, Maryland |
| Authorized Official Name and Position | Princess Helen Isokpunwu (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4104966630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brittney's Heart 5310 Old Court Rd Ste 205 Randallstown MD 21133-6201 Ph: (410) 496-6630 | Brittney's Heart 5310 Old Court Rd Ste 205 Randallstown MD 21133-6201 Ph: (410) 496-6630 |
| NPI Number | 1992116784 |
|---|---|
| Provider Enumeration Date | 05/14/2014 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 3870921141 |
|---|---|
| Medicare Enrollment ID | O20200319002458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992116784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kelvinda Kamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851641955 PECOS PAC ID: 6002050481 Enrollment ID: I20130925000575 |
| Provider Name | Chinyere Obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568909620 PECOS PAC ID: 0749693208 Enrollment ID: I20201231000079 |
| Provider Name | Justina Kenna Ugorji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437796901 PECOS PAC ID: 8426448655 Enrollment ID: I20211202001842 |
| Provider Name | Sharon Owenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891465415 PECOS PAC ID: 8729468103 Enrollment ID: I20220630003015 |
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