Provider Demographics
NPI:1952005266
Name:NEXTERA HEALTH
Entity Type:Organization
Organization Name:NEXTERA HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OMOLERE
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOMOWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-413-4923
Mailing Address - Street 1:14502 GREENVIEW DR STE 400
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-4234
Mailing Address - Country:US
Mailing Address - Phone:240-413-4923
Mailing Address - Fax:
Practice Address - Street 1:14502 GREENVIEW DR STE 400
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-4234
Practice Address - Country:US
Practice Address - Phone:240-413-4923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE MARCAULAY GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health