Healthcare Provider Details

I. General information

NPI: 1215583349
Provider Name (Legal Business Name): GBEMISTIC ENTERPRISES INC. DBA MINDSPOT HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 LANGFORD RD
GWYNN OAK MD
21207-4878
US

IV. Provider business mailing address

1445 LANGFORD RD
GWYNN OAK MD
21207-4878
US

V. Phone/Fax

Practice location:
  • Phone: 410-961-0115
  • Fax: 410-719-1615
Mailing address:
  • Phone: 410-961-0115
  • Fax: 410-719-1615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. GBEMISOLA ADEPERO ADAMS
Title or Position: ADMINISTRATOR
Credential:
Phone: 410-961-0151