CHMG CORELIFE LLC NPI 1629660147

NPI Information

  • NPI: 1629660147
  • Provider Name: CHMG CORELIFE, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: CALVERTHEALTH WEIGHT MANAGEMENT, LLC
  • Address: 1036 SAINT NICHOLAS DR UNIT 101
    WALDORF, MD
    ZIP 20603
  • Phone: (240) 261-7170

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NPI Details

CHMG CORELIFE, LLC is a family medicine in Waldorf, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHMG CORELIFE, LLC NPI is 1629660147. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Calverthealth Weight Management, Llc.

The provider's business location address is:

1036 SAINT NICHOLAS DR UNIT 101
WALDORF, MD
ZIP 20603-758
Phone: (240) 261-7170

The provider's authorized official is Carolyn Heithaus .
The authorized official title is Cfo and has the following contact phone number (410) 535-8236.

The enumeration date for this NPI number is 2/5/2021 and was last updated on 1/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2104100000XSocial WorkerNo
31041C0700XSocial WorkerClinicalNo
4133V00000XDietitian, RegisteredNo
5207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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