DIVINE CHARIS HEALTH SERVICES LLC
NPI 1548113111
Clinic/Center - Mental Health (Including Community Mental Health Center) in Upper Marlboro, MD
About Divine Charis Health Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE CHARIS HEALTH SERVICES LLC (NPI 1548113111) is a healthcare organization registered as a mental health (including community mental health center) in Upper Marlboro, Maryland and active in the NPI registry since February 2026. The organization lists Abong Miyeh, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Divine Charis Health 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 Divine Charis Health Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Divine Charis Health Services LLC's NPI number?
The NPI number for Divine Charis Health Services LLC is 1548113111. It was assigned to this organization in the NPPES registry on February 16, 2026.
Where is Divine Charis Health Services LLC located?
Divine Charis Health Services LLC is located at 11005 Fillys Ford Xing, Upper Marlboro, MD 20772. The listed phone number is (202) 352-4059.
What is Divine Charis Health Services 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 Divine Charis Health Services LLC enrolled in Medicare?
Yes. Divine Charis Health Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Divine Charis Health Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Divine Charis Health 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 Divine Charis Health Services LLC was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Divine Charis Health Services Llc · NPI 1548113111
Mental Health (Including Community Mental Health Center) organization in Upper Marlboro, Maryland. Organization record, active in the CMS NPPES registry since February 16, 2026.
## Identity
- **NPI:** 1548113111 (Entity type: Organization)
- **Enumerated:** February 16, 2026
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Abong Miyeh, OWNER
## Practice location
- **Address:** 11005 FILLYS FORD XING, Upper Marlboro, MD 20772-8314
- **Phone:** (202) 352-4059
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1548113111) · Data from the CMS NPPES public registry.