Provider Demographics
NPI:1285274522
Name:ALL JOSHUA, LLC
Entity type:Organization
Organization Name:ALL JOSHUA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:
Authorized Official - First Name:HAWANYA
Authorized Official - Middle Name:TENE
Authorized Official - Last Name:JERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-221-7447
Mailing Address - Street 1:2568A RIVA RD STE 202
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7456
Mailing Address - Country:US
Mailing Address - Phone:443-221-7447
Mailing Address - Fax:443-729-0620
Practice Address - Street 1:5620 SAINT BARNABAS RD STE 200
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3628
Practice Address - Country:US
Practice Address - Phone:240-253-2651
Practice Address - Fax:240-493-6594
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL JOSHUA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & AdolescentGroup - Multi-Specialty
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty