Healthcare Provider Details

I. General information

NPI: 1417867029
Provider Name (Legal Business Name): NEWDESTHOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 CENTRAL AVE # MD
LANDOVER MD
20785-4831
US

IV. Provider business mailing address

8700 CENTRAL AVE # MD
LANDOVER MD
20785-4831
US

V. Phone/Fax

Practice location:
  • Phone: 443-694-9904
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: AKWA GREMBOWSKI
Title or Position: OWNER
Credential:
Phone: 443-506-7562