JIVANA CARE – NPI #1710375662
Clinic/Center

JIVANA CARE is an AHC clinic located in BETHESDA, MD. NPPES has assigned the NPI number 1710375662 to JIVANA CARE on December 30, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JIVANA CARE” is a dba name, the actual legal business name for this organization is JIVANA LLC. 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

The NPI profile was previously updated about 4 years ago on Sep 08, 2022. 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 JIVANA CARE below.

NPI Profile for
JIVANA LLC

NPI Number
1710375662
Enumeration Date

(more than 11 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
JIVANA LLC
Doing Business As (dba): JIVANA CARE
Primary location
4927 AUBURN AVE STE 200
BETHESDA, MD 20814-2641
Phone: (301) 951-3606 Fax: (240) 215-3171
Mailing address
8347 CHERRY LN
LAUREL, MD 20707-4828
Phone: (410) 529-7880 Fax:
Organization Subpart
No
Authorized Official
GEZZER ORTEGA
MEDICAL DIRECTOR
Phone: (301) 951-3606
Updated
Certification Date
Sep 08, 2022

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.