| Hopeful Origins, Llc | |
|
5602 Baltimore National Pike Suite 205 Catonsville MD 21228-1104 | |
| (410) 420-8300 | |
| (443) 267-0020 |
| Full Name | Hopeful Origins, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5602 Baltimore National Pike Suite 205, Catonsville, Maryland |
| Authorized Official Name and Position | Nadia Swanson (OWNER/PROVIDER) |
| Authorized Official Contact | 9178635889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopeful Origins, Llc 103 Southern Oaks Dr Plant City FL 33563-1451 Ph: (410) 420-8300 | Hopeful Origins, Llc 5602 Baltimore National Pike Suite 205 Catonsville MD 21228-1104 Ph: (410) 420-8300 |
| NPI Number | 1659702280 |
|---|---|
| Provider Enumeration Date | 12/08/2013 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Medicare PECOS PAC ID | 0840428728 |
|---|---|
| Medicare Enrollment ID | O20140123000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659702280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | R1628686 (Maryland) | Primary |
| Provider Name | Nadia Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902093925 PECOS PAC ID: 2860540754 Enrollment ID: I20110510000767 |
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