Healthcare Provider Details

I. General information

NPI: 1518885086
Provider Name (Legal Business Name): BIMA HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7701 BIG BUCK DR
WINDSOR MILL MD
21244-2067
US

IV. Provider business mailing address

7701 BIG BUCK DR
WINDSOR MILL MD
21244-2067
US

V. Phone/Fax

Practice location:
  • Phone: 410-212-9592
  • Fax:
Mailing address:
  • Phone: 410-212-9592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: IFEYINWA NWORJI-AMAH
Title or Position: PROVIDER
Credential:
Phone: 410-212-9592