ETHOS HEALTH MARYLAND 1 LLC
NPI 1144888025
Clinic/Center - Multi-Specialty in Nottingham, MD

Q: What is Ethos Health Maryland 1 LLC's NPI number?

The NPI number for Ethos Health Maryland 1 LLC is 1144888025. It was assigned to this organization in the NPPES registry on June 5, 2019.

Q: What is Ethos Health Maryland 1 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since June 05, 2019

4940 CAMPBELL BLVD STE 130, NOTTINGHAM, MD 21236(410) 870-6498(410) 870-6555 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2021, Jul 19, 2019, Jun 5, 2019 (3 updates tracked since 2019).

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About Ethos Health Maryland 1 Llc NPPES

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

ETHOS HEALTH MARYLAND 1 LLC (NPI 1144888025) is a healthcare organization registered as a multi-specialty in Nottingham, Maryland and active in the NPI registry since June 2019. The organization lists Jonathan Ray Walker, Owner, as its authorized official.

NPPES Registry Identity

NPI1144888025

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameETHOS HEALTH MARYLAND 1 LLC

Location Address4940 CAMPBELL BLVD STE 130Nottingham, MD 21236-5910

Mailing Address1541 Se 17th StOcala, FL 34471-4607 · (352) 732-5590 · Fax (352) 732-0292

Phone(410) 870-6498

Fax(410) 870-6555

Organization SubpartNo

Authorized OfficialJonathan Ray WalkerOwner · (352) 732-5590

Enumeration DateJune 5, 2019

Last NPPES UpdateMarch 3, 20213 updates tracked since enumeration

NPPES CertifiedMarch 3, 2021

✔ NPI 1144888025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

4940 CAMPBELL BLVD STE 130, Nottingham, MD 21236

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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 Ethos Health Maryland 1 LLC's NPI number?

The NPI number for Ethos Health Maryland 1 LLC is 1144888025. It was assigned to this organization in the NPPES registry on June 5, 2019.

Where is Ethos Health Maryland 1 LLC located?

Ethos Health Maryland 1 LLC is located at 4940 Campbell Blvd Ste 130, Nottingham, MD 21236. The listed phone number is (410) 870-6498.

What is Ethos Health Maryland 1 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Ethos Health Maryland 1 LLC was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.