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ETHOS HEALTH GROUP MARYLAND 5 LLC
NPI 1164094652
Clinic/Center - Multi-Specialty in Rockville, MD

Active since July 14, 2021
152 ROLLINS AVE STE 210, ROCKVILLE, MD 20852(352) 732-5590(352) 732-0292 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethos Health Group Maryland 5 Llc NPPES

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

ETHOS HEALTH GROUP MARYLAND 5 LLC (NPI 1164094652) is a healthcare organization registered as a multi-specialty in Rockville, Maryland and active in the NPI registry since July 2021. The organization lists Jonathan Ray Walker, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1164094652
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameETHOS HEALTH GROUP MARYLAND 5 LLC
Location Address152 ROLLINS AVE STE 210Rockville, MD 20852-4008
Mailing Address152 Rollins Ave Ste 210Rockville, MD 20852-4008 · (352) 732-5590 · Fax (352) 732-0292
Phone(352) 732-5590
Fax(352) 732-0292
Organization SubpartNo
Authorized OfficialJonathan Ray WalkerOwner/operator · (352) 732-5590
Enumeration DateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
✔ NPI 1164094652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
152 ROLLINS AVE STE 210, Rockville, MD 20852
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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 Group Maryland 5 LLC's NPI number?

The NPI number for Ethos Health Group Maryland 5 LLC is 1164094652. It was assigned to this organization in the NPPES registry on July 14, 2021.

Where is Ethos Health Group Maryland 5 LLC located?

Ethos Health Group Maryland 5 LLC is located at 152 Rollins Ave Ste 210, Rockville, MD 20852. The listed phone number is (352) 732-5590.

What is Ethos Health Group Maryland 5 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 Group Maryland 5 LLC was last updated on July 14, 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.