Organization Active NPI

Largo Wellness Center, LLC

  • Adult Day Care Clinic/Center
  • Largo, MD
National Provider Identifier
1861147035
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LARGO WELLNESS CENTER, LLC
Practice address
1450 Mercantile LN Ste 237
Largo, MD 20774-5464
Phone
(301) 636-0977
Fax
(240) 770-6916
NPI assigned
Feb 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Paula Nneka Okanume
Title
Manager
Phone
(240) 636-0977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1450 Mercantile LN Ste 237
Largo, MD 20774-5464

Mailing address

14111 Mary Bowie Pkwy
Upper Marlboro, MD 20774-8572
Phone (301) 636-0977

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1861147035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14111 MARY BOWIE PKWY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748572",
            "telephone_number": "301-636-0977",
            "fax_number": "240-770-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MERCANTILE LN STE 237",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745464",
            "telephone_number": "301-636-0977",
            "fax_number": "240-770-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARGO WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "OKANUME",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "NNEKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-636-0977"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.