Provider Demographics
NPI:1346540606
Name:TOTAL HEALTH CARE, INC.
Entity Type:Organization
Organization Name:TOTAL HEALTH CARE, INC.
Other - Org Name:LINDEN HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEROT
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:410-728-4090
Mailing Address - Street 1:827 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-4606
Mailing Address - Country:US
Mailing Address - Phone:410-383-8300
Mailing Address - Fax:410-735-5244
Practice Address - Street 1:827 LINDEN BOULEVARD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202
Practice Address - Country:US
Practice Address - Phone:410-383-8300
Practice Address - Fax:410-735-5243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD905611400Medicaid