NPIMap

Organization Active NPI

Compassionate Wellness Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1578057899
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COMPASSIONATE WELLNESS CENTER, LLC
Practice address
1130 Opal CT
Hagerstown, MD 21740-5940
Phone
(240) 513-6001
NPI assigned
Jun 20, 2018
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPASSIONATE WELLNESS CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Pamela N Zama
Title
Coo
Phone
(240) 513-6001

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1130 Opal CT
Hagerstown, MD 21740-5940

Mailing address

10319 Westlake Dr Ste 193
Bethesda, MD 20817-6403
Phone (240) 513-6001

Other identifiers 1

IdentifierTypeStateIssuer
986006100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Compassionate Wllnss CNTR7 organizations share this tax ID, including this one
Part of
Compassionate Wllnss CNTR

Other organizations with this tax ID 6

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

Locations

44 N Potomac St
Ste 101
Hagerstown, MD 21740
Phone (240) 420-1850

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1578057899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 WESTLAKE DR STE 193",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176403",
            "telephone_number": "240-513-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 OPAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405940",
            "telephone_number": "240-513-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE WELLNESS CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPASSIONATE WELLNESS CENTER, LLC",
        "enumeration_date": "2018-06-20",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "ZAMA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "240-513-6001"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "986006100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.