NPIMap

Organization Active NPI

Montgomery Wellness Hub LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1285266262
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MONTGOMERY WELLNESS HUB LLC
Practice address
951 Russell Ave Ste D
Gaithersburg, MD 20879-3283
Phone
(301) 404-7336
NPI assigned
Feb 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Mohammed Kolawole Ibrahim
Title
Ceo
Phone
(301) 404-7336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

951 Russell Ave Ste D
Gaithersburg, MD 20879-3283

Mailing address

951 Russell Ave Ste D
Gaithersburg, MD 20879-3283
Phone (301) 404-7336

National Provider Directory

National Provider Directory
Tax ID family
Montgomery Wellness Hub LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1285266262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 RUSSELL AVE STE D",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793283",
            "telephone_number": "301-404-7336",
            "fax_number": "240-246-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 RUSSELL AVE STE D",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793283",
            "telephone_number": "301-404-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY WELLNESS HUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "KOLAWOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-404-7336"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.