Provider Demographics
NPI:1215583349
Name:GBEMISTIC ENTERPRISES INC. DBA MINDSPOT HEALTHCARE SERVICES
Entity type:Organization
Organization Name:GBEMISTIC ENTERPRISES INC. DBA MINDSPOT HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GBEMISOLA
Authorized Official - Middle Name:ADEPERO
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-961-0151
Mailing Address - Street 1:1445 LANGFORD RD
Mailing Address - Street 2:
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-4878
Mailing Address - Country:US
Mailing Address - Phone:410-961-0115
Mailing Address - Fax:410-719-1615
Practice Address - Street 1:1445 LANGFORD RD
Practice Address - Street 2:
Practice Address - City:GWYNN OAK
Practice Address - State:MD
Practice Address - Zip Code:21207-4878
Practice Address - Country:US
Practice Address - Phone:410-961-0115
Practice Address - Fax:410-719-1615
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GBEMISTIC ENTERPRISES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health