Active NPI
Hervolve Wellness LLC
- Primary Care Clinic/Center
- Brandywine, MD
National Provider Identifier
1619760899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- HERVOLVE WELLNESS LLC
- Practice address
- 7651 Matapeake Business Dr Ste 212
Brandywine, MD 20613-3038 - Phone
- (301) 404-2245
- NPI assigned
- May 28, 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
- Oluwatimilehin Ugbade
- Title
- Provider
- Phone
- (301) 404-2245
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
7651 Matapeake Business Dr Ste 212
Brandywine, MD 20613-3038
Mailing address
7651 Matapeake Business Dr Ste 212
Brandywine, MD 20613-3038
Phone (301) 404-2245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7651 Matapeake Business Dr
Ste 212
Brandywine, MD 20613
Phone (301) 404-2245
Practitioners & affiliated clinicians
Practitioners 3
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": "1748390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748390400000",
"number": "1619760899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7651 MATAPEAKE BUSINESS DR STE 212",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206133038",
"telephone_number": "301-404-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7651 MATAPEAKE BUSINESS DR STE 212",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206133038",
"telephone_number": "301-404-2245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERVOLVE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A",
"authorized_official_last_name": "UGBADE",
"authorized_official_first_name": "OLUWATIMILEHIN",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "301-404-2245"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandywine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.