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HEALTH RELEAF LLC
NPI 1235616475
Clinic/Center - Primary Care in Glen Burnie, MD

Active since July 20, 2018CLIA 21D2152922 · Waiver
1406B CRAIN HWY S STE 304, GLEN BURNIE, MD 21061(301) 804-0322(240) 266-1052 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2022, Oct 3, 2021, Aug 17, 2018 and 1 more (4 updates tracked since 2018).

About Health Releaf Llc NPPES

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

HEALTH RELEAF LLC (NPI 1235616475) is a healthcare organization registered as a primary care in Glen Burnie, Maryland and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through August 19, 2026 and lists Shannon Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1235616475
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHEALTH RELEAF LLC
Location Address1406B CRAIN HWY S STE 304Glen Burnie, MD 21061-4094
Mailing Address1406b Crain Hwy S Ste 304Glen Burnie, MD 21061-4094 · (301) 804-0344 · Fax (240) 266-1052
Phone(301) 804-0322
Fax(240) 266-1052
Organization SubpartNo
Authorized OfficialShannon MartinOwner · (240) 671-1747
Enumeration DateJuly 20, 2018
Last NPPES UpdateDecember 19, 20224 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1235616475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MD · R182264
1406B CRAIN HWY S STE 304, Glen Burnie, MD 21061
Open in Google Maps ↗

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 21D2152922

Health Releaf LLC · Glen Burnie, MD
Active · expires Aug 19, 2026
CLIA Number21D2152922
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorShannon Martin Crnp
Laboratory Phone(301) 804-0844
Laboratory LocationHealth Releaf LLC1406B Crain Hwy South #304, Glen Burnie, MD 21061
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 4

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

NEW CHANGES LLC
Nurse Practitioner (Psychiatric/Mental Health)
1406B CRAIN HWY S STE 304
GLEN BURNIE, MD 21061
Anne Arundel County (301) 804-0344
MRS. SHANNON NICOLE MARTIN FNP-C
Nurse Practitioner (Family)
1406B CRAIN HWY S STE 304
GLEN BURNIE, MD 21061
Anne Arundel County (301) 804-0344
NEW CHANGES LLC
Nurse Practitioner (Family)
1406B CRAIN HWY S STE 304
GLEN BURNIE, MD 21061
Anne Arundel County (301) 804-0344
HEALTH RELEAF LLC
Nurse Practitioner (Psychiatric/Mental Health)
1406B CRAIN HWY S STE 304
GLEN BURNIE, MD 21061
Anne Arundel County (301) 804-0344

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 Health Releaf LLC's NPI number?

The NPI number for Health Releaf LLC is 1235616475. It was assigned to this organization in the NPPES registry on July 20, 2018.

Where is Health Releaf LLC located?

Health Releaf LLC is located at 1406B Crain Hwy S Ste 304, Glen Burnie, MD 21061. The listed phone number is (301) 804-0322.

What is Health Releaf LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Health Releaf LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2152922) is associated with this NPI, valid through August 19, 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 Health Releaf LLC was last updated on December 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.