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COMPREHENSIVE HEALTHCARE & WELLNESS SERVICES LLC
NPI 1366112385
Clinic/Center - Primary Care in Upper Marlboro, MD

Active since September 20, 2021
1014 ANDEAN GOOSE WAY, UPPER MARLBORO, MD 20774(240) 508-3363 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Comprehensive Healthcare & Wellness Services Llc NPPES

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

COMPREHENSIVE HEALTHCARE & WELLNESS SERVICES LLC (NPI 1366112385) is a healthcare organization registered as a primary care in Upper Marlboro, Maryland and active in the NPI registry since September 2021. The organization lists Johanese Sandy, Provider, as its authorized official.

NPPES Registry Identity

NPI1366112385
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOMPREHENSIVE HEALTHCARE & WELLNESS SERVICES LLC
Location Address1014 ANDEAN GOOSE WAYUpper Marlboro, MD 20774-7128
Mailing Address1014 Andean Goose WayUpper Marlboro, MD 20774-7128 · (240) 508-3363
Phone(240) 508-3363
Organization SubpartNo
Authorized OfficialJohanese SandyProvider · (240) 508-3363
Enumeration DateSeptember 20, 2021
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1366112385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
1014 ANDEAN GOOSE WAY, Upper Marlboro, MD 20774
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Other Identifiers 1

Medicaid000000MD

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

Other Providers at the Same Location NPPES

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

COMPREHENSIVE HEALTHCARE & WELLNESS SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1014 ANDEAN GOOSE WAY
UPPER MARLBORO, MD 20774
Prince George's County (240) 508-3363

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 Comprehensive Healthcare & Wellness Services LLC's NPI number?

The NPI number for Comprehensive Healthcare & Wellness Services LLC is 1366112385. It was assigned to this organization in the NPPES registry on September 20, 2021.

Where is Comprehensive Healthcare & Wellness Services LLC located?

Comprehensive Healthcare & Wellness Services LLC is located at 1014 Andean Goose Way, Upper Marlboro, MD 20774. The listed phone number is (240) 508-3363.

What is Comprehensive Healthcare & Wellness Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Comprehensive Healthcare & Wellness Services LLC was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.