Healthcare Provider Details

I. General information

NPI: 1124915293
Provider Name (Legal Business Name): ST. MARY'S EFFICIENT HEALTH CARE COMMUNITY SERVICES INTERNATIONAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2025
Last Update Date: 06/21/2025
Certification Date: 06/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10003 BIRD RIVER RD
MIDDLE RIVER MD
21220-1526
US

IV. Provider business mailing address

200 WILSON POINT RD UNIT 24788
BALTIMORE MD
21220-7634
US

V. Phone/Fax

Practice location:
  • Phone: 443-409-4083
  • Fax:
Mailing address:
  • Phone: 443-409-4083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: DR. MARYROSE E OGUEZUONU
Title or Position: CEO/ FOUNDER
Credential: DNP, FNP, MSN, RN
Phone: 443-409-4083