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INDEPTH HEALTHCARE SERVICES LLC
NPI 1104588466
Nurse Practitioner - Primary Care in Laurel, MD

Active since October 13, 2021
9244 HOMESTRETCH CT, LAUREL, MD 20723(240) 308-2530 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Indepth Healthcare Services Llc NPPES

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

INDEPTH HEALTHCARE SERVICES LLC (NPI 1104588466) is a healthcare organization registered as a primary care in Laurel, Maryland and active in the NPI registry since October 2021. The organization lists Jacqueline Annan, Provider, as its authorized official.

NPPES Registry Identity

NPI1104588466
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameINDEPTH HEALTHCARE SERVICES LLC
Location Address9244 HOMESTRETCH CTLaurel, MD 20723-1875
Mailing Address9244 Homestretch CtLaurel, MD 20723-1875 · (240) 308-2530
Phone(240) 308-2530
Organization SubpartNo
Authorized OfficialJacqueline AnnanProvider · (240) 308-2530
Enumeration DateOctober 13, 2021
NPPES CertifiedOctober 13, 2021
✔ NPI 1104588466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
9244 HOMESTRETCH CT, Laurel, MD 20723
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Indepth Healthcare Services LLC's NPI number?

The NPI number for Indepth Healthcare Services LLC is 1104588466. It was assigned to this organization in the NPPES registry on October 13, 2021.

Where is Indepth Healthcare Services LLC located?

Indepth Healthcare Services LLC is located at 9244 Homestretch Ct, Laurel, MD 20723. The listed phone number is (240) 308-2530.

What is Indepth Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Indepth Healthcare Services LLC was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.