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DEVINE FAMILY CARE PRACTICE LLC
NPI 1053828244
Family Medicine in Gwynn Oak, MD

Active since January 09, 2018CLIA 21D2143950 · Waiver
7131 LIBERTY RD STE 100, GWYNN OAK, MD 21207(410) 963-9577(443) 200-5261 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2025, Jun 16, 2018, Jan 9, 2018 (3 updates tracked since 2018).

About Devine Family Care Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVINE FAMILY CARE PRACTICE LLC (NPI 1053828244) is a healthcare organization registered as a family medicine in Gwynn Oak, Maryland and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through February 7, 2028 and lists Stella Mbah, Cmo/owner, as its authorized official.

NPPES Registry Identity

NPI1053828244
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEVINE FAMILY CARE PRACTICE LLC
Location Address7131 LIBERTY RD STE 100Gwynn Oak, MD 21207-4580
Mailing Address7131 Liberty Rd Ste 100Gwynn Oak, MD 21207-4580 · (410) 963-9577
Phone(410) 963-9577
Fax(443) 200-5261
Organization SubpartNo
Authorized OfficialStella MbahCmo/owner · (410) 963-9577
Enumeration DateJanuary 9, 2018
Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1053828244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7131 LIBERTY RD STE 100, Gwynn Oak, MD 21207
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2143950

Devine Family Care Practice LLC · Baltimore, MD
Active · expires Feb 7, 2028
CLIA Number21D2143950
Laboratory TypeIndependent
Certificate Effective DateFebruary 8, 2026
Certificate Expiration DateFebruary 7, 2028
Laboratory DirectorStella E. Mbah
Laboratory Phone(410) 963-9577
Laboratory LocationDevine Family Care Practice LLC7131 Liberty Road Suite 100, Baltimore, MD 21207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE MBAKOP
Nurse Practitioner (Family)
7131 LIBERTY RD STE 100
GWYNN OAK, MD 21207
Baltimore City (443) 200-5338
PODIATRY ASSOCIATES, P.A.
Podiatrist
7131 LIBERTY RD STE 100
BALTIMORE, MD 21207
Baltimore City (410) 944-4000
GIBRILLA MUSTAPHA SANNOH NP
Nurse Practitioner (Family)
7131 LIBERTY RD STE 100
GWYNN OAK, MD 21207
Baltimore City (443) 200-5338
GRANT HOME HEALTH SERVICES INC
Home Health
7131 LIBERTY RD STE 100
GWYNN OAK, MD 21207
Baltimore City (443) 922-4860
STELLA EBERE MBAH CRNP
Nurse Practitioner (Family)
7131 LIBERTY RD STE 100
GWYNN OAK, MD 21207
Baltimore City (410) 963-9577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devine Family Care Practice LLC's NPI number?

The NPI number for Devine Family Care Practice LLC is 1053828244. It was assigned to this organization in the NPPES registry on January 9, 2018.

Where is Devine Family Care Practice LLC located?

Devine Family Care Practice LLC is located at 7131 Liberty Rd Ste 100, Gwynn Oak, MD 21207. The listed phone number is (410) 963-9577.

What is Devine Family Care Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Devine Family Care Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2143950) is associated with this NPI, valid through February 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Devine Family Care Practice LLC was last updated on September 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.