Organization Active NPI

Everlasting Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hyattsville, MD
National Provider Identifier
1932930179
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EVERLASTING HEALTH SERVICES LLC
Practice address
7405 Mary Scot Dr
Hyattsville, MD 20785-4801
Phone
(240) 464-0517
NPI assigned
Aug 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Constantine LewkoNPI 1922470905
Title
Owner
Phone
(240) 464-0517

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7405 Mary Scot Dr
Hyattsville, MD 20785-4801

Mailing address

7405 Mary Scot Dr
Hyattsville, MD 20785-4801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260428000150 DC Part B Supplier - Clinic/Group Practice 1254808231 Receives reassigned benefits from 1 practitioner
Practice locations: Hyattsville, MD

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": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1932930179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 MARY SCOT DR",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 MARY SCOT DR",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854801",
            "telephone_number": "240-464-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "LEWKO",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-464-0517"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.

Verify at the official NPI Registry.