Provider Demographics
NPI:1477902609
Name:CARING HANDS MEDICAL CLINIC LLC
Entity Type:Organization
Organization Name:CARING HANDS MEDICAL CLINIC LLC
Other - Org Name:CARING HANDS MEDICAL CLINIC LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DNP-PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:EBEI
Authorized Official - Last Name:NDIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-241-4989
Mailing Address - Street 1:7201 HANOVER PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2006
Mailing Address - Country:US
Mailing Address - Phone:240-241-4989
Mailing Address - Fax:301-477-1976
Practice Address - Street 1:7201 HANOVER PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2006
Practice Address - Country:US
Practice Address - Phone:240-241-4989
Practice Address - Fax:301-477-1976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty