1. Home
  2. Directory
  3. District Of Columbia
  4. Washington
  5. Clinic Center
  6. NPI Profile

AGLOW RECOVERY HEALTHCARE SERVICES
NPI 1710699137
Clinic/Center - Multi-Specialty in Washington, DC

Active since December 16, 2022
1647 BENNING RD NE STE 300A, WASHINGTON, DC 20002(202) 621-8713(202) 946-7091 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2023, Dec 16, 2022 (2 updates tracked since 2022).

About Aglow Recovery Healthcare Services NPPES

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

AGLOW RECOVERY HEALTHCARE SERVICES (NPI 1710699137) is a healthcare organization registered as a multi-specialty in Washington, District Of Columbia and active in the NPI registry since December 2022. The organization lists Kerniba Y Ghoneim, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1710699137
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameAGLOW RECOVERY HEALTHCARE SERVICES
Location Address1647 BENNING RD NE STE 300AWashington, DC 20002-4572
Mailing Address2490 Market St Ne # 630Washington, DC 20018-3851 · (202) 621-8713 · Fax (202) 946-7091
Phone(202) 621-8713
Fax(202) 946-7091
Organization SubpartNo
Authorized OfficialKerniba Y GhoneimCo-owner · (202) 621-8713
Enumeration DateDecember 16, 2022
Last NPPES UpdateFebruary 14, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1710699137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
1647 BENNING RD NE STE 300A, Washington, DC 20002
Open in Google Maps ↗

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 4

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

DORIS OFODILE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1647 BENNING RD NE STE 300A
WASHINGTON, DC 20002
District of Columbia (240) 707-1120
AGLOW RECOVERY HEALTHCARE SERVICES
Substance Abuse Rehabilitation Facility
1647 BENNING RD NE STE 300A
WASHINGTON, DC 20002
District of Columbia (202) 621-8713
ALADEGOKE EBENEZER AKINSOLA
Case Manager/Care Coordinator
1647 BENNING RD NE STE 300A
WASHINGTON, DC 20002
District of Columbia (202) 621-8713
ROYALPRIESTHOOD OLOLA
Case Manager/Care Coordinator
1647 BENNING RD NE STE 300A
WASHINGTON, DC 20002
District of Columbia (202) 621-8713

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 Aglow Recovery Healthcare Services's NPI number?

The NPI number for Aglow Recovery Healthcare Services is 1710699137. It was assigned to this organization in the NPPES registry on December 16, 2022.

Where is Aglow Recovery Healthcare Services located?

Aglow Recovery Healthcare Services is located at 1647 Benning Rd NE Ste 300A, Washington, DC 20002. The listed phone number is (202) 621-8713.

What is Aglow Recovery Healthcare Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Aglow Recovery Healthcare Services was last updated on February 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.