EPIPHANY FAMILY SERVICES MARYLAND LLC – NPI #1609641299
Clinic/Center

EPIPHANY FAMILY SERVICES MARYLAND LLC is an AHC clinic located in BALTIMORE, MD. NPPES has assigned the NPI number 1609641299 to EPIPHANY FAMILY SERVICES MARYLAND LLC on November 24, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EPIPHANY FAMILY SERVICES MARYLAND LLC below.

NPI Profile for
EPIPHANY FAMILY SERVICES MARYLAND LLC

NPI Number
1609641299
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EPIPHANY FAMILY SERVICES MARYLAND LLC
Primary location
2310 N CHARLES ST
BALTIMORE, MD 21218-5127
Phone: (410) 844-4110 Fax:
Mailing address
3301 BELAIR RD STE 2
BALTIMORE, MD 21213-1257
Phone: Fax:
Organization Subpart
Yes - EPIPHANY FAMILY SERVICES MARYLAND LLC is subpart of another organization.
Authorized Official
ANTHONY ESTREET
CEO
Phone: (443) 873-7193
Updated
Certification Date
Nov 24, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.