Provider Demographics
NPI:1568826733
Name:INGE BENEVOLENT MINISTRIES
Entity Type:Organization
Organization Name:INGE BENEVOLENT MINISTRIES
Other - Org Name:HEALTHY SOLUTIONS WELLNESS MINISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE CHAPLAIN
Authorized Official - Prefix:
Authorized Official - First Name:ASMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HANIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-466-8686
Mailing Address - Street 1:5205 GWYNN OAK AVE
Mailing Address - Street 2:
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-7183
Mailing Address - Country:US
Mailing Address - Phone:410-466-8686
Mailing Address - Fax:410-466-5949
Practice Address - Street 1:5205 GWYNN OAK AVE
Practice Address - Street 2:
Practice Address - City:GWYNN OAK
Practice Address - State:MD
Practice Address - Zip Code:21207-7183
Practice Address - Country:US
Practice Address - Phone:410-466-8686
Practice Address - Fax:410-466-5949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD186511041C0700X
MDD0071810261QC1500X
MDR093471363L00000X
MDR136864367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty