NPIMap

Organization Active NPI

Community Wellness Foundation LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Laurel, MD
National Provider Identifier
1023722618
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
COMMUNITY WELLNESS FOUNDATION LLC
Practice address
14504 Greenview Dr Ste 200
Laurel, MD 20708-3290
Phone
(240) 297-9646
Fax
(240) 297-9310
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Princess Neze Akwurah-Igwebuike
Title
Ceo
Phone
(204) 297-9646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

14504 Greenview Dr Ste 200
Laurel, MD 20708-3290

Mailing address

14504 Greenview Dr Ste 200
Laurel, MD 20708-3290
Phone (240) 297-9646

National Provider Directory

National Provider Directory
Tax ID family
Community Wellness Foundation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14504 Greenview Dr
Ste 200
Laurel, MD 20708
Phone (240) 297-9646

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1023722618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14504 GREENVIEW DR STE 200",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083290",
            "telephone_number": "240-297-9646",
            "fax_number": "240-297-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14504 GREENVIEW DR STE 200",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083290",
            "telephone_number": "240-297-9646",
            "fax_number": "240-297-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "AKWURAH-IGWEBUIKE",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_middle_name": "NEZE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "204-297-9646",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.