Organization Active NPI

Fawpearls Health Services LLC

  • Health Service Clinic/Center
  • Oakland, MD
National Provider Identifier
1417802000
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FAWPEARLS HEALTH SERVICES LLC
Practice address
5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Phone
(240) 593-2260
NPI assigned
Feb 28, 2026
Organization subpart
Yes
Parent organization
FAWPEARL HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Authorized official

Name
Abimbola Rachael Shadare, APRN, PMHNPNPI 1508559675
Title
Ceo
Phone
(240) 593-2260

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

5000 Thayer Ctr Ste C
Oakland, MD 21550-1139

Mailing address

4312 Arabella CT
Upper Marlboro, MD 20772-9343
Phone (240) 593-2260

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772236800000",
    "number": "1417802000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 ARABELLA CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207729343",
            "telephone_number": "240-593-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 THAYER CTR STE C",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501139",
            "telephone_number": "240-593-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAWPEARLS HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAWPEARL HEALTH SERVICES LLC",
        "enumeration_date": "2026-02-28",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A",
        "authorized_official_last_name": "SHADARE",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_middle_name": "RACHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-593-2260",
        "authorized_official_credential": "APRN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; 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.