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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRUE PHOENIX COMMUNITY CARE, LLC
NPI 1790249084
Clinic/Center - Primary Care in Parkville, MD

Active since January 30, 2019CLIA 21D2165318 · Waiver
2316 E JOPPA RD STE 1, PARKVILLE, MD 21234(443) 793-7220(443) 687-8705 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Dec 2, 2025, Sep 10, 2025 and 10 more (13 updates tracked since 2019).

About True Phoenix Community Care, Llc NPPES

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

TRUE PHOENIX COMMUNITY CARE, LLC (NPI 1790249084), doing business as True Phoenix, is a healthcare organization registered as a primary care in Parkville, Maryland and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Molaye V Adeleye, Cfoo, as its authorized official.

NPPES Registry Identity

NPI1790249084
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTRUE PHOENIX COMMUNITY CARE, LLC
Location Address2316 E JOPPA RD STE 1Parkville, MD 21234-2808
Mailing Address2316 E Joppa Rd Ste 1Parkville, MD 21234-2808 · (443) 793-7220 · Fax (443) 687-8705
Phone(443) 793-7220
Fax(443) 687-8705
Organization SubpartNo
Authorized OfficialMolaye V AdeleyeCfoo · (443) 793-7220
Enumeration DateJanuary 30, 2019
Last NPPES UpdateJuly 30, 202613 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1790249084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2316 E JOPPA RD STE 1, Parkville, MD 21234
Open in Google Maps ↗

Other Names 2

Doing Business AsTrue Phoenix
Doing Business AsTrue Phoenix Functional Health

Other Identifiers 1

Medicaid502149901MD

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 21D2165318

True Phoenix Community Care LLC · Parkville, MD
Active · expires Apr 24, 2027
CLIA Number21D2165318
Laboratory TypePractitioner Other
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorJinaya S. Beatty
Laboratory Phone(443) 793-7220
Laboratory LocationTrue Phoenix Community Care LLC2316 E Joppa Rd Ste 1, Parkville, MD 21234
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JINAYA S. BEATTY DNP, CRNP, FNP-BC
Nurse Practitioner (Family)
2316 E JOPPA RD STE 1
PARKVILLE, MD 21234
Baltimore County (443) 793-7220

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 True Phoenix Community Care, LLC's NPI number?

The NPI number for True Phoenix Community Care, LLC is 1790249084. It was assigned to this organization in the NPPES registry on January 30, 2019. The provider is doing business as True Phoenix and True Phoenix Functional Health.

Where is True Phoenix Community Care, LLC located?

True Phoenix Community Care, LLC is located at 2316 E Joppa Rd Ste 1, Parkville, MD 21234. The listed phone number is (443) 793-7220.

What is True Phoenix Community Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does True Phoenix Community Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2165318) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for True Phoenix Community Care, LLC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.