Organization Active NPI

Leskom Health Systems LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westminster, MD
National Provider Identifier
1194308130
Registry record updated Aug 29, 2023
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
LESKOM HEALTH SYSTEMS LLC
Practice address
2 Locust LN Ste 304
Westminster, MD 21157-5380
Phone
(667) 290-6325
NPI assigned
Apr 28, 2021
Last updated
Aug 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Adeniran W Adeleye, PMHNPNPI 1235779612
Title
President
Phone
(301) 256-5934

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

2 Locust LN Ste 304
Westminster, MD 21157-5380

Mailing address

715 Macdill Rd
Middle River, MD 21220-3794
Phone (301) 256-5934

Other practice location 1

715 Macdill Rd
Middle River, MD 21220-3794
Phone (301) 256-5934

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210527000170 MD Part B Supplier - Clinic/Group Practice 1951700707 Receives reassigned benefits from 1 practitioner
Practice locations: Middle River, MD

National Provider Directory

National Provider Directory

Locations

2 Locust Ln
Ste 304
Westminster, MD 21157
Phone (443) 522-0132

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": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1194308130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MACDILL RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212203794",
            "telephone_number": "301-256-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LOCUST LN STE 304",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575380",
            "telephone_number": "667-290-6325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Macdill Rd",
            "address_purpose": "LOCATION",
            "city": "Middle River",
            "state": "MD",
            "postal_code": "212203794",
            "country_code": "US",
            "telephone_number": "301-256-5934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LESKOM HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "ADELEYE",
        "authorized_official_first_name": "ADENIRAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-256-5934",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.