| Hope Center Maryland (omhc) Baltimore | |
|
3108 Lord Baltimore Dr Ste 108 Windsor Mill MD 21244-5807 | |
| (240) 429-2600 | |
| Not Available |
| Full Name | Hope Center Maryland (omhc) Baltimore |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3108 Lord Baltimore Dr Ste 108, Windsor Mill, Maryland |
| Authorized Official Name and Position | Vanessa Valdez (TCM ASSISTANT SUPERVISOR) |
| Authorized Official Contact | 2404292600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Center Maryland (omhc) Baltimore 4601 Presidents Dr Ste 300 Lanham MD 20706-4832 Ph: (301) 459-2020 | Hope Center Maryland (omhc) Baltimore 3108 Lord Baltimore Dr Ste 108 Windsor Mill MD 21244-5807 Ph: (240) 429-2600 |
| NPI Number | 1073075545 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Medicare PECOS PAC ID | 0749326064 |
|---|---|
| Medicare Enrollment ID | O20210528000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073075545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Daniel Bochicchio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689757791 PECOS PAC ID: 3779575493 Enrollment ID: I20040401001246 |
| Provider Name | Constance N Flanagan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891946810 PECOS PAC ID: 5991970345 Enrollment ID: I20111213000542 |
| Provider Name | Judith Besem Akoh-arrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699336651 PECOS PAC ID: 5698930139 Enrollment ID: I20201111000292 |
| Provider Name | Amy Holden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083219216 PECOS PAC ID: 6204241268 Enrollment ID: I20210528000698 |
| Provider Name | Justina Kenna Ugorji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437796901 PECOS PAC ID: 8426448655 Enrollment ID: I20211202001842 |
| Provider Name | Althea I Miller-umar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134885007 PECOS PAC ID: 8224421532 Enrollment ID: I20220209002176 |
| Provider Name | Cecilia Agha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679023261 PECOS PAC ID: 5294103578 Enrollment ID: I20221117000339 |
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