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GOFAN HEALTHCARE SERVICE LLC
NPI 1346058328
Nurse Practitioner - Psychiatric/Mental Health in Riverdale, MD

Active since December 23, 2024
6200 BALTIMORE AVE STE 300, RIVERDALE, MD 20737(469) 296-8177(469) 722-5748 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gofan Healthcare Service Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOFAN HEALTHCARE SERVICE LLC (NPI 1346058328) is a healthcare organization registered as a psychiatric/mental health in Riverdale, Maryland and active in the NPI registry since December 2024. The organization lists Jacinta Madu, Owner, as its authorized official.

NPPES Registry Identity

NPI1346058328
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGOFAN HEALTHCARE SERVICE LLC
Location Address6200 BALTIMORE AVE STE 300Riverdale, MD 20737-1054
Mailing Address2072 Royal Acres TrlFrisco, TX 75036-8772 · (469) 296-8177 · Fax (972) 435-4426
Phone(469) 296-8177
Fax(469) 722-5748
Organization SubpartNo
Authorized OfficialJacinta MaduOwner · (804) 469-0044
Enumeration DateDecember 23, 2024
NPPES CertifiedDecember 23, 2024
✔ NPI 1346058328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6200 BALTIMORE AVE STE 300, Riverdale, MD 20737
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE COURTNEY TWAALFHOVEN LCPC
Counselor (Mental Health)
6200 BALTIMORE AVE STE 300
RIVERDALE, MD 20737
Prince George's County (301) 500-0311
NNEKA L JEFFERSON LICSW, LCSW-C, LCSW
Social Worker (Clinical)
6200 BALTIMORE AVE STE 300
RIVERDALE, MD 20737
Prince George's County (571) 402-2816
MY TIME THERAPY SERVICES, LLC
Social Worker (Clinical)
6200 BALTIMORE AVE STE 300
RIVERDALE, MD 20737
Prince George's County (301) 683-9256
DR. JINMEE GRAHAM ND, MPH
Naturopath
6200 BALTIMORE AVE STE 300
RIVERDALE, MD 20737
Prince George's County (315) 728-9675
HERITAGE HEALTHCARE SERVICES LLC
Homemaker
6200 BALTIMORE AVE STE 300
RIVERDALE PARK, MD 20737
Prince George's County (312) 868-4509
JOHNETTA HAMMONDS
Speech-Language Pathologist
6200 BALTIMORE AVE STE 300
RIVERDALE PARK, MD 20737
Prince George's County (240) 353-5001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gofan Healthcare Service LLC's NPI number?

The NPI number for Gofan Healthcare Service LLC is 1346058328. It was assigned to this organization in the NPPES registry on December 23, 2024.

Where is Gofan Healthcare Service LLC located?

Gofan Healthcare Service LLC is located at 6200 Baltimore Ave Ste 300, Riverdale, MD 20737. The listed phone number is (469) 296-8177.

What is Gofan Healthcare Service LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Gofan Healthcare Service LLC was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.