OrganizationActive
Foundational Health Restoration, LLC
NPI 1841879145 · Medical Specialty Clinic/Center · Westminster, MD
Provider details
- NPI number
- 1841879145
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melinda-Ann Roth, Sole Member(410) 833-8205
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
540 Jermor Ln Ste a
Westminster, MD 21157-6490
Phone: (443) 300-6367
Fax: (443) 300-6367
Approximate (ZIP-level) locationGet directions
Mailing address
644 Cockeys Mill Rd
Reisterstown, MD 21136-5116
Registry dates
- Enumerated
- 2021-04-05
- Last updated
- 2024-08-16
- Certified
- 2024-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.