REVOLVE WELLNESS HUB LLC
NPI 1174362974
Clinic/Center - Mental Health (Including Community Mental Health Center) in Linthicum, MD

Active since May 21, 2024
1190 WINTERSON RD STE 200, LINTHICUM, MD 21090(443) 201-6063 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2026, Nov 20, 2025 (2 updates tracked since 2025).

About Revolve Wellness Hub Llc NPPES

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

REVOLVE WELLNESS HUB LLC (NPI 1174362974) is a healthcare organization registered as a mental health (including community mental health center) in Linthicum, Maryland and active in the NPI registry since May 2024. The organization lists Uzoamaka Mbadugha, Crnp-pmh, as its authorized official.

NPPES Registry Identity

NPI1174362974
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameREVOLVE WELLNESS HUB LLC
Location Address1190 WINTERSON RD STE 200Linthicum, MD 21090-2245
Mailing Address1190 Winterson Rd Ste 200Linthicum, MD 21090-2245 · (443) 318-3289 · Fax (443) 788-1787
Organization SubpartNo
Authorized OfficialUzoamaka MbadughaCrnp-pmh · (443) 201-6063
Enumeration DateMay 21, 2024
Last NPPES UpdateApril 20, 20262 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1174362974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1190 WINTERSON RD STE 200, Linthicum, MD 21090

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revolve Wellness Hub Llc 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 Revolve Wellness Hub LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1912606385
1190 WINTERSON RD
Linthicum, MD 21090
(443) 318-3289
✔ PECOSSame address

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 Revolve Wellness Hub LLC's NPI number?

The NPI number for Revolve Wellness Hub LLC is 1174362974. It was assigned to this organization in the NPPES registry on May 21, 2024.

Where is Revolve Wellness Hub LLC located?

Revolve Wellness Hub LLC is located at 1190 Winterson Rd Ste 200, Linthicum, MD 21090. The listed phone number is (443) 201-6063.

What is Revolve Wellness Hub LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Revolve Wellness Hub LLC enrolled in Medicare?

Yes. Revolve Wellness Hub LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revolve Wellness Hub LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Revolve Wellness Hub LLC. 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 Revolve Wellness Hub LLC was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.