Provider Demographics
NPI:1003678608
Name:ATTENTIVE HEALTH CARE LLC
Entity Type:Organization
Organization Name:ATTENTIVE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:TOLULOPE
Authorized Official - Middle Name:O
Authorized Official - Last Name:IGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-879-3733
Mailing Address - Street 1:204 S CASTLE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-2601
Mailing Address - Country:US
Mailing Address - Phone:443-340-6332
Mailing Address - Fax:
Practice Address - Street 1:204 S CASTLE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-2601
Practice Address - Country:US
Practice Address - Phone:443-340-6332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty