GRECEANNII HEALTHCARE P C
NPI 1356069850
Nurse Practitioner - Gerontology in Columbia, MD

Active since August 19, 2022CLIA 21D2276010 · Waiver
7130 MINSTREL WAY STE 120, COLUMBIA, MD 21045(443) 241-7622 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 11, 2023, Aug 19, 2022 (2 updates tracked since 2022).

About Greceannii Healthcare P C NPPES

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

GRECEANNII HEALTHCARE P C (NPI 1356069850) is a healthcare organization registered as a gerontology in Columbia, Maryland and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through January 31, 2027, maintains a secondary practice location in Laurel, and lists Max Greceannii, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356069850
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameGRECEANNII HEALTHCARE P C
Location Address7130 MINSTREL WAY STE 120Columbia, MD 21045-5329
Mailing Address7130 Minstrel Way Ste 120Columbia, MD 21045-5329 · (314) 922-4937
Organization SubpartNo
Authorized OfficialMax GreceanniiCeo · (314) 922-4937
Enumeration DateAugust 19, 2022
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
NPI 1356069850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
7130 MINSTREL WAY STE 120, Columbia, MD 21045

Secondary Practice Location 1

Location 19416 Falling Waters CtLaurel, MD 20723-5973 · Phone (314) 922-4937

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2276010

Greceannii Healthcare PC · Columbia, MD
Active · expires Jan 31, 2027
CLIA Number21D2276010
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorMaxim Greceannii
Laboratory Phone(314) 922-4937
Laboratory LocationGreceannii Healthcare PC7130 Minstrel Way, #120, Columbia, MD 21045
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Adult Health)
7130 MINSTREL WAY STE 120
COLUMBIA, MD 21045
Social Worker (School)
7130 MINSTREL WAY STE 120
COLUMBIA, MD 21045
Social Worker
7130 MINSTREL WAY STE 120
COLUMBIA, MD 21045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356069850, enumerated as an "organization" on August 19, 2022.

The provider is located at 7130 MINSTREL WAY STE 120 COLUMBIA, MD 21045 and the phone number is (443) 241-7622.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.