CHANCE FOR LIFE INC
NPI 1104640663
Nurse Practitioner - Psychiatric/Mental Health in Cheverly, MD
About Chance For Life Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANCE FOR LIFE INC (NPI 1104640663) is a healthcare organization registered as a psychiatric/mental health in Cheverly, Maryland and active in the NPI registry since November 2024. The organization lists Oluwakemi Fagbuyi, Owner Of Entity, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chance For Life Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Chance For Life Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Chance For Life Inc's NPI number?
The NPI number for Chance For Life Inc is 1104640663. It was assigned to this organization in the NPPES registry on November 12, 2024.
Where is Chance For Life Inc located?
Chance For Life Inc is located at 6490 Landover Rd Ste F6, Cheverly, MD 20785. The listed phone number is (202) 487-9587.
What is Chance For Life Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Chance For Life Inc enrolled in Medicare?
Yes. Chance For Life Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chance For Life Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Chance For Life Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Chance For Life Inc was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Chance For Life Inc · NPI 1104640663
Psychiatric/Mental Health organization in Cheverly, Maryland. Organization record, active in the CMS NPPES registry since November 12, 2024.
## Identity
- **NPI:** 1104640663 (Entity type: Organization)
- **Enumerated:** November 12, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Oluwakemi Fagbuyi, OWNER OF ENTITY
## Practice location
- **Address:** 6490 LANDOVER RD STE F6, Cheverly, MD 20785-1443
- **Phone:** (202) 487-9587 · **Fax:** (240) 770-7529
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104640663) · Data from the CMS NPPES public registry.