NPIMap

Organization Active NPI

Innovation Health System, LLC

  • Community/Behavioral Health Agency
  • Crofton, MD
National Provider Identifier
1225882483
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INNOVATION HEALTH SYSTEM, LLC
Practice address
2138 Espey CT Ste 1
Crofton, MD 21114-2495
Phone
(443) 519-7277
Fax
(443) 470-7718
NPI assigned
Apr 15, 2024
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Richard Asah NkwettaNPI 1669124731
Title
Ceo/Executive Director
Phone
(443) 519-7277

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2138 Espey CT Ste 1
Crofton, MD 21114-2495

Mailing address

2138 Espey CT Ste 1
Crofton, MD 21114-2495
Phone (443) 519-7277

National Provider Directory

National Provider Directory
Tax ID family
Innovation Health System LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2138 Espey Ct
Ste 1
Crofton, MD 21114
Phone (443) 470-7916

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": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1225882483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 ESPEY CT STE 1",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142495",
            "telephone_number": "443-519-7277",
            "fax_number": "443-470-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 ESPEY CT STE 1",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142495",
            "telephone_number": "443-519-7277",
            "fax_number": "443-470-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION HEALTH SYSTEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-09-11",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "NKWETTA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ASAH",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-519-7277"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.