SABAOTH BEHAVIORAL HEALTHCARE SERVICES LLC
NPI 1225954019
Nurse Practitioner - Psychiatric/Mental Health in Ellicott City, MD

Active since June 25, 2026
3167 PINE ORCHARD LN APT 302, ELLICOTT CITY, MD 21042(410) 680-6791 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sabaoth Behavioral Healthcare Services Llc NPPES

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

SABAOTH BEHAVIORAL HEALTHCARE SERVICES LLC (NPI 1225954019) is a healthcare organization registered as a psychiatric/mental health in Ellicott City, Maryland and active in the NPI registry since June 2026. The organization lists Ejobosele Ikhajiagbe, Owner, as its authorized official.

NPPES Registry Identity

NPI1225954019
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSABAOTH BEHAVIORAL HEALTHCARE SERVICES LLC
Location Address3167 PINE ORCHARD LN APT 302Ellicott City, MD 21042-4203
Mailing Address3167 Pine Orchard Ln Apt 302Ellicott City, MD 21042-4203 · (410) 680-6791
Organization SubpartNo
Authorized OfficialEjobosele IkhajiagbeOwner · (410) 680-6791
Enumeration DateJune 25, 2026
Last NPPES UpdateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
✔ NPI 1225954019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
3167 PINE ORCHARD LN APT 302, Ellicott City, MD 21042

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Sabaoth Behavioral Healthcare Services 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 Sabaoth Behavioral Healthcare Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1619648367
100 CHAMBERS HILL DR STE 200
Chambersburg, PA 17201
(717) 709-7930
✔ PECOS✔ Accepts Medicare62 mi

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 Sabaoth Behavioral Healthcare Services LLC's NPI number?

The NPI number for Sabaoth Behavioral Healthcare Services LLC is 1225954019. It was assigned to this organization in the NPPES registry on June 25, 2026.

Where is Sabaoth Behavioral Healthcare Services LLC located?

Sabaoth Behavioral Healthcare Services LLC is located at 3167 Pine Orchard Ln Apt 302, Ellicott City, MD 21042. The listed phone number is (410) 680-6791.

What is Sabaoth Behavioral Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sabaoth Behavioral Healthcare Services LLC enrolled in Medicare?

Yes. Sabaoth Behavioral Healthcare Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sabaoth Behavioral Healthcare Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sabaoth Behavioral Healthcare Services 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 Sabaoth Behavioral Healthcare Services LLC was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.