NPIMap

Organization Active NPI

Continuum Wellness Center LLC.

  • Health Educator
  • Glen Burnie, MD
National Provider Identifier
1427695808
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
CONTINUUM WELLNESS CENTER LLC.
Practice address
7310 Ritchie Hwy Ste 405
Glen Burnie, MD 21061-3092
Phone
(410) 788-6727
Fax
(410) 788-6729
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Lystra Eastlyn WilliamsNPI 1871678995
Title
Clinical Director/Ceo
Phone
(410) 788-6727

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 EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

7310 Ritchie Hwy Ste 405
Glen Burnie, MD 21061-3092

Mailing address

2 W Rolling XRDS Ste 111
Catonsville, MD 21228-6204
Phone (410) 788-6727

Other identifiers 1

IdentifierTypeStateIssuer
870014101MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.mycontinuumwellness.com
CONNECT URL www.mycontinuumwellness.com

National Provider Directory

National Provider Directory
Tax ID family
Continuum Wellness Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1427695808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W ROLLING XRDS STE 111",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286204",
            "telephone_number": "410-788-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY STE 405",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613092",
            "telephone_number": "410-788-6727",
            "fax_number": "410-788-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUUM WELLNESS CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LYSTRA",
        "authorized_official_middle_name": "EASTLYN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "410-788-6727"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870014101",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mycontinuumwellness.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "7310 Ritchie Hwy Ste 405",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210613092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mycontinuumwellness.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "7310 Ritchie Hwy Ste 405",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210613092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.