Organization Active NPI

Dominicus Healthcare Services LLC

  • Community/Behavioral Health Agency
  • Bowie, MD
National Provider Identifier
1972416493
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DOMINICUS HEALTHCARE SERVICES LLC
Practice address
4220 Glenn Dale Rd
Bowie, MD 20720-3537
Phone
(301) 624-9961
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Dominic Ngoh Tebit
Title
Owner
Phone
(301) 624-9961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4220 Glenn Dale Rd
Bowie, MD 20720-3537

Mailing address

5116 Kenilworth Ave Apt 10
Hyattsville, MD 20781-2531
Phone (301) 624-9961

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1972416493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 KENILWORTH AVE APT 10",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207812531",
            "telephone_number": "301-624-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 GLENN DALE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203537",
            "telephone_number": "301-624-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINICUS HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "TEBIT",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "NGOH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-624-9961"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.