Provider Demographics
NPI:1902418791
Name:BELONGINGS HEALTH SERVICES
Entity Type:Organization
Organization Name:BELONGINGS HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDWICK
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:410-908-8273
Mailing Address - Street 1:10999 RED RUN BLVD STE 205M339
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3261
Mailing Address - Country:US
Mailing Address - Phone:410-908-8273
Mailing Address - Fax:
Practice Address - Street 1:4816 CLAIRELEE DR
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4765
Practice Address - Country:US
Practice Address - Phone:410-908-8273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-21
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD799554700Medicaid