Organization Active NPI

Wellnest Health Systems Incorported

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Owings Mills, MD
National Provider Identifier
1053080432
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
WELLNEST HEALTH SYSTEMS INCORPORTED
Practice address
3 Mill Creek CT
Owings Mills, MD 21117-6501
Phone
(410) 718-0552
Fax
(410) 205-7092
NPI assigned
Sep 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Mr. Musibau Omotosho Adebayo
Title
Representative
Phone
(410) 718-0552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3 Mill Creek CT
Owings Mills, MD 21117-6501

Mailing address

3 Mill Creek CT
Owings Mills, MD 21117-6501
Phone (410) 718-0552

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1053080432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MILL CREEK CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176501",
            "telephone_number": "410-718-0552",
            "fax_number": "410-205-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MILL CREEK CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176501",
            "telephone_number": "410-718-0552",
            "fax_number": "410-205-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNEST HEALTH SYSTEMS INCORPORTED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "ADEBAYO",
        "authorized_official_first_name": "MUSIBAU",
        "authorized_official_middle_name": "OMOTOSHO",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "410-718-0552",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.