Organization Active NPI

Healing Hope Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Abingdon, MD
National Provider Identifier
1083473789
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEALING HOPE HEALTHCARE LLC
Practice address
3105 Emmorton Rd Ste 2a
Abingdon, MD 21009-2587
Phone
(443) 594-7764
Fax
(954) 405-8786
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Ebunoluwa Akinyemi, DNPNPI 1649803917
Title
Clinical Director
Phone
(443) 594-7764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3105 Emmorton Rd Ste 2a
Abingdon, MD 21009-2587

Mailing address

3105 Emmorton Rd Ste 2a
Abingdon, MD 21009-2587
Phone (443) 594-7764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240807002507 MD Part B Supplier - Clinic/Group Practice 8224575337 Receives reassigned benefits from 3 practitioners
Practice locations: Baltimore, MD; Abingdon, MD

National Provider Directory

National Provider Directory

Locations

3105 Emmorton Rd
Ste 2A
Abingdon, MD 21009
Phone (410) 569-3555

4132 E Joppa Rd
Ste 1101251
Nottingham, MD 21236
Phone (443) 304-8390

Practitioners & affiliated clinicians

Practitioners 3

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": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1083473789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 EMMORTON RD STE 2A",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092587",
            "telephone_number": "443-594-7764",
            "fax_number": "954-405-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 EMMORTON RD STE 2A",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092587",
            "telephone_number": "443-594-7764",
            "fax_number": "954-405-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HOPE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "AKINYEMI",
        "authorized_official_first_name": "EBUNOLUWA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "443-594-7764",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.