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FAMILYCARE NURSE PRACTITIONER LLC
NPI 1821628801
Clinic/Center - Primary Care in Baltimore, MD

Active since January 19, 2020CLIA 21D2281536 · Waiver
2300 GARRISON BLVD STE 100, BALTIMORE, MD 21216(410) 945-2289(410) 945-4255 Get Directions Write a Review

NPPES record last updated: January 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Familycare Nurse Practitioner Llc NPPES

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

FAMILYCARE NURSE PRACTITIONER LLC (NPI 1821628801) is a healthcare organization registered as a primary care in Baltimore, Maryland and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Ngwanma Nwokoro, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821628801
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAMILYCARE NURSE PRACTITIONER LLC
Location Address2300 GARRISON BLVD STE 100Baltimore, MD 21216-2308
Mailing Address2300 Garrison Blvd Ste 100Baltimore, MD 21216-2308 · (410) 945-2289 · Fax (410) 945-4255
Phone(410) 945-2289
Fax(410) 945-4255
Organization SubpartNo
Authorized OfficialNgwanma NwokoroCeo · (410) 945-2289
Enumeration DateJanuary 19, 2020
✔ NPI 1821628801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2300 GARRISON BLVD STE 100, Baltimore, MD 21216
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Other Identifiers 1

Medicaid772050500MD

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 21D2281536

Familycare Nurse Practitioner LLC · Baltimore, MD
Active · expires May 8, 2027
CLIA Number21D2281536
Laboratory TypePractitioner Other
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorNgwanma Nwokoro
Laboratory Phone(410) 945-2289
Laboratory LocationFamilycare Nurse Practitioner LLC2300 Garrison Blvd #100, Baltimore, MD 21216
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

NGWANMA ALVANIS NWOKORO CRNP-FAMILY
Nurse Practitioner (Family)
2300 GARRISON BLVD STE 100
BALTIMORE, MD 21216
Baltimore City (410) 945-2289
SHANTI DAVID LLC
Pediatrics
2300 GARRISON BLVD STE 100
BALTIMORE, MD 21216
Baltimore City (410) 945-2289

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 Familycare Nurse Practitioner LLC's NPI number?

The NPI number for Familycare Nurse Practitioner LLC is 1821628801. It was assigned to this organization in the NPPES registry on January 19, 2020.

Where is Familycare Nurse Practitioner LLC located?

Familycare Nurse Practitioner LLC is located at 2300 Garrison Blvd Ste 100, Baltimore, MD 21216. The listed phone number is (410) 945-2289.

What is Familycare Nurse Practitioner LLC's specialty?

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

Does Familycare Nurse Practitioner LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2281536) is associated with this NPI, valid through May 8, 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 Familycare Nurse Practitioner LLC was last updated on January 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.