<Unavail>

LBN: Chmg Corelife, Llc
<Unavail> is an health care organization with primary practice located at 1036 Saint Nicholas Dr Unit 101 , Waldorf MD 20603-4758. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Chmg Corelife, Llc can be contacted via phone (240) 261-7170, or through Heithaus, Carolyn via phone (410) 535-8236.

Contact Information

Primary practice address
1036 Saint Nicholas Dr Unit 101 Waldorf MD 20603-4758
Phone: (240) 261-7170
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heithaus, Carolyn
Phone: (410) 535-8236

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1629660147
LBN Legal business name Chmg Corelife, Llc
DBA Doing business as <Unavail>
Authorized official Heithaus, Carolyn
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 5th, 2021
Last updated Jan 16th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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