FOUNDATIONAL HEALTH RESTORATION, LLC
NPI 1841879145
Clinic/Center - Medical Specialty in Westminster, MD

Active since April 05, 2021
540 JERMOR LN STE A, WESTMINSTER, MD 21157(443) 300-6367(443) 300-6367 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 16, 2024, Apr 5, 2021 (2 updates tracked since 2021).

  • Organization
  • Clinic/Center
  • Medical Specialty

About FOUNDATIONAL HEALTH RESTORATION, LLC

This page provides the complete NPI Profile along with additional information for Foundational Health Restoration, Llc, a provider established in Westminster, Maryland operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1841879145 assigned on April 2021. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Melinda-ann B Roth M.d. (Sole Member)

NPI
1841879145 Verify this NPI
Provider Name
FOUNDATIONAL HEALTH RESTORATION, LLC
Entity Type
Organization
Location Address
540 JERMOR LN STE A WESTMINSTER, MD 21157
Location Phone
(443) 300-6367
Location Fax
(443) 300-6367
Mailing Address
644 COCKEYS MILL RD REISTERSTOWN, MD 21136
Mailing Phone
(410) 833-8205
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-05-2021
Last Update Date
08-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MELINDA-ANN B ROTH M.D.

Authorized Official Title
SOLE MEMBER
Authorized Official Phone
(410) 833-8205

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Medicine & Rehabilitation
540 JERMOR LN STE A
WESTMINSTER, MD 21157

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841879145, enumerated as an "organization" on April 05, 2021.

The provider is located at 540 JERMOR LN STE A WESTMINSTER, MD 21157 and the phone number is (443) 300-6367.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.