Organization Active NPI

R I C Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Largo, MD
National Provider Identifier
1124775861
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
R I C HEALTH SERVICES LLC
Practice address
1300 Mercantile LN Ste 100C
Largo, MD 20774-5383
Phone
(301) 278-2626
Fax
(497) 986-8609
NPI assigned
Mar 2, 2022
Last updated
Jul 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Ruphina Nnebedum, NPNPI 1417455932
Title
Owner
Phone
(240) 374-2906

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1300 Mercantile LN Ste 100C
Largo, MD 20774-5383

Mailing address

10706 Birdie LN
Upper Marlboro, MD 20774-6019
Phone (240) 493-4704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220405001863 MD Part B Supplier - Clinic/Group Practice 6800282567 Receives reassigned benefits from 1 practitioner
Practice locations: Largo, MD
O20220822003128 DC Part B Supplier - Clinic/Group Practice 6800282567 Receives reassigned benefits from 1 practitioner
Practice locations: Largo, MD

National Provider Directory

National Provider Directory

Locations

1300 Mercantile Ln
Ste 100C
Upper Marlboro, MD 20774
Phone (240) 374-2906

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1124775861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 BIRDIE LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207746019",
            "telephone_number": "240-493-4704",
            "fax_number": "301-753-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN STE 100C",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745383",
            "telephone_number": "301-278-2626",
            "fax_number": "497-986-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R I C HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "NNEBEDUM",
        "authorized_official_first_name": "RUPHINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-374-2906",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.