1. Home
  2. Directory
  3. Maryland
  4. Ellicott City
  5. Clinic Center
  6. NPI Profile

NUGAHEALTH PRIMARY CARE LLC
NPI 1053959411
Clinic/Center in Ellicott City, MD

Active since December 17, 2019CLIA 21D2267591 · Waiver
3565 ELLICOTT MILLS DR STE B2, ELLICOTT CITY, MD 21043(443) 282-3413(443) 276-7475 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2026, Dec 17, 2019 (2 updates tracked since 2019).

About Nugahealth Primary Care Llc NPPES

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

NUGAHEALTH PRIMARY CARE LLC (NPI 1053959411) is a healthcare organization registered as a clinic/center in Ellicott City, Maryland and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through August 28, 2026 and lists Omobolanle M Adenuga, Crnp-f, as its authorized official.

NPPES Registry Identity

NPI1053959411
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNUGAHEALTH PRIMARY CARE LLC
Location Address3565 ELLICOTT MILLS DR STE B2Ellicott City, MD 21043-4549
Mailing Address3565 Ellicott Mills Dr Ste B2Ellicott City, MD 21043-4549 · (443) 282-3413 · Fax (443) 276-7475
Phone(443) 282-3413
Fax(443) 276-7475
Organization SubpartNo
Authorized OfficialOmobolanle M AdenugaCrnp-f · (443) 282-3413
Enumeration DateDecember 17, 2019
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1053959411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3565 ELLICOTT MILLS DR STE B2, Ellicott City, MD 21043
Open in Google Maps ↗

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 21D2267591

Nugahealth Primary Care · Ellicott City, MD
Active · expires Aug 28, 2026
CLIA Number21D2267591
Laboratory TypePractitioner Other
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorOmobolanle Adenuga
Laboratory Phone(240) 755-1452
Laboratory LocationNugahealth Primary Care3565 Ellicott Mills Dr Suite B2, Ellicott City, MD 21043
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

OMOBOLANLE M. ADENUGA CRNP-F
Nurse Practitioner
3565 ELLICOTT MILLS DR STE B2
ELLICOTT CITY, MD 21043
Howard County (443) 282-3413

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 Nugahealth Primary Care LLC's NPI number?

The NPI number for Nugahealth Primary Care LLC is 1053959411. It was assigned to this organization in the NPPES registry on December 17, 2019.

Where is Nugahealth Primary Care LLC located?

Nugahealth Primary Care LLC is located at 3565 Ellicott Mills Dr Ste B2, Ellicott City, MD 21043. The listed phone number is (443) 282-3413.

What is Nugahealth Primary Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Nugahealth Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2267591) is associated with this NPI, valid through August 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nugahealth Primary Care LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.