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WHOLENESS LIFESTYLE SERVICES, LLC
NPI 1861253775
Clinic/Center - Developmental Disabilities in Upper Marlboro, MD

Active since January 18, 2024
4310 REVEREND EVERSFIELD CT, UPPER MARLBORO, MD 20772(240) 779-5380 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wholeness Lifestyle Services, Llc NPPES

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

WHOLENESS LIFESTYLE SERVICES, LLC (NPI 1861253775) is a healthcare organization registered as a developmental disabilities in Upper Marlboro, Maryland and active in the NPI registry since January 2024. The organization lists Cyril Chukwuemeka Okoro, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861253775
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameWHOLENESS LIFESTYLE SERVICES, LLC
Location Address4310 REVEREND EVERSFIELD CTUpper Marlboro, MD 20772-2917
Mailing Address4310 Reverend Eversfield CtUpper Marlboro, MD 20772-2917 · (240) 779-5380
Phone(240) 779-5380
Organization SubpartNo
Authorized OfficialCyril Chukwuemeka OkoroCeo · (240) 779-5380
Enumeration DateJanuary 18, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1861253775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
4310 REVEREND EVERSFIELD CT, Upper Marlboro, MD 20772
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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 Wholeness Lifestyle Services, LLC's NPI number?

The NPI number for Wholeness Lifestyle Services, LLC is 1861253775. It was assigned to this organization in the NPPES registry on January 18, 2024.

Where is Wholeness Lifestyle Services, LLC located?

Wholeness Lifestyle Services, LLC is located at 4310 Reverend Eversfield Ct, Upper Marlboro, MD 20772. The listed phone number is (240) 779-5380.

What is Wholeness Lifestyle Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Wholeness Lifestyle Services, LLC was last updated on January 18, 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.