1. Home
  2. Directory
  3. Maryland
  4. Lanham
  5. Nurse Practitioner
  6. NPI Profile

PATIENT CENTERED HEALTH CARE LLC
NPI 1316403868
Nurse Practitioner - Primary Care in Lanham, MD

Active since February 20, 2019CLIA 21D2169791 · Waiver
9470 ANNAPOLIS RD, LANHAM, MD 20706(240) 770-6689 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2024, Feb 20, 2019 (2 updates tracked since 2019).

About Patient Centered Health Care Llc NPPES

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

PATIENT CENTERED HEALTH CARE LLC (NPI 1316403868) is a healthcare organization registered as a primary care in Lanham, Maryland and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Caroline Ibijemilusi, Owner, as its authorized official.

NPPES Registry Identity

NPI1316403868
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePATIENT CENTERED HEALTH CARE LLC
Location Address9470 ANNAPOLIS RDLanham, MD 20706-3025
Mailing Address9470 Annapolis RdLanham, MD 20706-3025 · (240) 770-6689
Phone(240) 770-6689
Organization SubpartNo
Authorized OfficialCaroline IbijemilusiOwner · (240) 770-6689
Enumeration DateFebruary 20, 2019
Last NPPES UpdateApril 16, 20242 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1316403868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
9470 ANNAPOLIS RD, Lanham, MD 20706
Open in Google Maps ↗

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

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 21D2169791

Patient Centered Health Care LLC · Lanham, MD
Active · expires Jul 25, 2027
CLIA Number21D2169791
Laboratory TypePractitioner Other
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorCaroline A. Ibijemilusi
Laboratory Phone(240) 486-6319
Laboratory LocationPatient Centered Health Care LLC9470 Annapolis Rd Suite 402, Lanham, MD 20706
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

UPPER EXTREMITY & HAND THERAPY
Occupational Therapist
9470 ANNAPOLIS RD, SUITE 409
LANHAM, MD 20706
Prince George's County (301) 918-9099
YVONNE MOULTON
Speech-Language Pathologist
9470 ANNAPOLIS RD, SUITE 416
LANHAM, MD 20706
Prince George's County (301) 577-4333
ETHEL ESUMA ELAD NP
Nurse Practitioner (Psychiatric/Mental Health)
9470 ANNAPOLIS RD
LANHAM, MD 20706
Prince George's County (202) 499-4300
BRITTANY LARK
Speech-Language Pathologist
9470 ANNAPOLIS RD, SUITE 416
LANHAM, MD 20706
Prince George's County (301) 577-4333
JAMIE MORSE
Behavior Analyst
9470 ANNAPOLIS RD
LANHAM, MD 20706
Prince George's County (301) 577-4333
AMANDA COSTA
Occupational Therapist
9470 ANNAPOLIS RD, 416
LANHAM, MD 20706
Prince George's County (301) 577-4333
CONTINENTAL MEDICAL LLC
Durable Medical Equipment & Medical Supplies
9470 ANNAPOLIS RD, SUITE 208
LANHAM, MD 20706
Prince George's County (301) 358-2603
MARIA RIVAS CCC-SLP
Speech-Language Pathologist
9470 ANNAPOLIS RD, 416
LANHAM, MD 20706
Prince George's County (301) 577-4333

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 Patient Centered Health Care LLC's NPI number?

The NPI number for Patient Centered Health Care LLC is 1316403868. It was assigned to this organization in the NPPES registry on February 20, 2019.

Where is Patient Centered Health Care LLC located?

Patient Centered Health Care LLC is located at 9470 Annapolis Rd, Lanham, MD 20706. The listed phone number is (240) 770-6689.

What is Patient Centered Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Patient Centered Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2169791) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Patient Centered Health Care LLC was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.