Active NPI
Mercyland Healthcare Services, Inc
- Home Health Agency
- Riverdale, MD
National Provider Identifier
1265235030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MERCYLAND HEALTHCARE SERVICES, INC
- Practice address
- 6811 Kenilworth Ave Ste 604
Riverdale, MD 20737-1341 - Phone
- (240) 521-5509
- Fax
- (240) 790-8928
- NPI assigned
- Mar 28, 2025
- Last updated
- Jul 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcellinus O Nwadibia
- Title
- President
- Phone
- (301) 256-8204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6811 Kenilworth Ave Ste 604
Riverdale, MD 20737-1341
Mailing address
9914 Farm Pond Rd
Laurel, MD 20708-6000
Phone (240) 521-5509
National Provider Directory
National Provider DirectoryLocations
6201 Greenbelt Rd
Ste U17
Berwyn Heights, MD 20740
6811 Kenilworth Ave
Ste 604
Riverdale, MD 20737
Phone (240) 521-5509
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.
-
- Nurse Practitioner
- Kensington, MD
- NPI 1336743491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752883200000",
"number": "1265235030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9914 FARM POND RD",
"city": "LAUREL",
"state": "MD",
"postal_code": "207086000",
"telephone_number": "240-521-5509",
"fax_number": "240-790-8928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6811 KENILWORTH AVE STE 604",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371341",
"telephone_number": "240-521-5509",
"fax_number": "240-790-8928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCYLAND HEALTHCARE SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-28",
"last_updated": "2025-07-19",
"certification_date": "2025-07-19",
"status": "A",
"authorized_official_last_name": "NWADIBIA",
"authorized_official_first_name": "MARCELLINUS",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-256-8204"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.