Image Recovery Center At Upper Chesapeake
LBN: Total Image Care, Inc.
Image Recovery Center At Upper Chesapeake is an health care organization with primary practice located at 500 Upper Chesapeake Dr Suite 11, Bel Air MD 21014-4324. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty.
Total Image Care, Inc. can be contacted via phone (443) 643-3224, or through Kelly, Edward Jerome via phone (410) 560-0614.
Contact Information
Primary practice address
500 Upper Chesapeake Dr Suite 11
Bel Air MD 21014-4324
Phone: (443) 643-3224
Fax: (443) 643-3227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1104253160 |
|---|---|
| LBN Legal business name | Total Image Care, Inc. |
| DBA Doing business as | Image Recovery Center At Upper Chesapeake |
| Authorized official | Kelly, Edward Jerome MBA, CPA |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 3rd, 2013 |
| Last updated | Oct 3rd, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104253160 | NPPES |
| Maryland | Other | F807 | CAREFIRST BLUE CROSS BLUE SHIELD |
| Maryland | MEDICAID | 6010000800 | CAREFIRST BLUE CROSS BLUE SHIELD |
| Maryland | Other | MH24 | CAREFIRST BLUE CROSS BLUE SHIELD |
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