PUREBALANCE HEALTH & WELLNESS LLC
NPI 1285512632
Clinic/Center - Mental Health (Including Community Mental Health Center) in Randallstown, MD

Active since August 25, 2025
5310 OLD COURT RD STE 304, RANDALLSTOWN, MD 21133(443) 400-5230(410) 401-0221 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Purebalance Health & Wellness Llc NPPES

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

PUREBALANCE HEALTH & WELLNESS LLC (NPI 1285512632) is a healthcare organization registered as a mental health (including community mental health center) in Randallstown, Maryland and active in the NPI registry since August 2025. The organization lists Chezo Nojang, President, as its authorized official.

NPPES Registry Identity

NPI1285512632
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePUREBALANCE HEALTH & WELLNESS LLC
Location Address5310 OLD COURT RD STE 304Randallstown, MD 21133-6202
Mailing AddressPo Box 61Randallstown, MD 21133-0061 · (443) 400-5230 · Fax (410) 401-0221
Fax(410) 401-0221
Organization SubpartNo
Authorized OfficialChezo NojangPresident · (443) 280-3004
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1285512632 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
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
5310 OLD COURT RD STE 304, Randallstown, MD 21133

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Purebalance Health & Wellness 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 Purebalance Health & Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1285231183
5310 OLD COURT RD STE 304
Randallstown, MD 21133
(443) 400-5230
✔ PECOS✔ Accepts MedicareSame 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 Purebalance Health & Wellness LLC's NPI number?

The NPI number for Purebalance Health & Wellness LLC is 1285512632. It was assigned to this organization in the NPPES registry on August 25, 2025.

Where is Purebalance Health & Wellness LLC located?

Purebalance Health & Wellness LLC is located at 5310 Old Court Rd Ste 304, Randallstown, MD 21133. The listed phone number is (443) 400-5230.

What is Purebalance Health & Wellness 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 Purebalance Health & Wellness LLC enrolled in Medicare?

Yes. Purebalance Health & Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Purebalance Health & Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Purebalance Health & Wellness 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 Purebalance Health & Wellness LLC was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.