ENITAN HEALTHCARE SERVICES
NPI 1174301055
Nurse Practitioner - Family in Fort Washington, MD

Active since September 20, 2023CLIA 21D2269462 · Waiver
9507 LIVINGSTON RD, FORT WASHINGTON, MD 20744(240) 273-1224 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2024, Nov 6, 2023, Oct 8, 2023 (3 updates tracked since 2023).

About Enitan Healthcare Services NPPES

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

ENITAN HEALTHCARE SERVICES (NPI 1174301055) is a healthcare organization registered as a family in Fort Washington, Maryland and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Oluwatobi Fatima Ogunrinde, President, as its authorized official.

NPPES Registry Identity

NPI1174301055
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameENITAN HEALTHCARE SERVICES
Location Address9507 LIVINGSTON RDFort Washington, MD 20744-4919
Mailing Address9507 Livingston RdFort Washington, MD 20744-4919 · (240) 273-1224
Organization SubpartNo
Authorized OfficialOluwatobi Fatima OgunrindePresident · (347) 444-5544
Enumeration DateSeptember 20, 2023
Last NPPES UpdateAugust 23, 20243 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
NPI 1174301055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
9507 LIVINGSTON RD, Fort Washington, MD 20744

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 21D2269462

Enitan Healthcare Services LLC · Fort Washington, MD
Active · expires Sep 26, 2026
CLIA Number21D2269462
Laboratory TypeMobile Laboratory
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorOluwatobi Ogunrinde
Laboratory Phone(240) 493-6505
Laboratory LocationEnitan Healthcare Services LLC10905 Fort Washington Rd Ste 305, Fort Washington, MD 20744
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Pharmacist
9507 LIVINGSTON RD
FORT WASHINGTON, MD 20744
Nurse Practitioner (Family)
9507 LIVINGSTON RD
FORT WASHINGTON, MD 20744

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 Enitan Healthcare Services's NPI number?

The NPI number for Enitan Healthcare Services is 1174301055. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Enitan Healthcare Services located?

Enitan Healthcare Services is located at 9507 Livingston Rd, Fort Washington, MD 20744. The listed phone number is (240) 273-1224.

What is Enitan Healthcare Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Enitan Healthcare Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2269462) is associated with this NPI, valid through September 26, 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 Enitan Healthcare Services was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.