MEDICARE: ALPHA WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1609643915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA WELLNESS, LLC

Provider Business Mailing Address
First Line	:	3851 PENTLAND HILLS DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-9242
Country	:	US
Telephone Number	:	443-519-9388
Fax Number	:

Provider Business Practice Location Address
First Line	:	3851 PENTLAND HILLS DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-9242
Country	:	US
Telephone Number	:	443-519-9388
Fax Number	:

Authorized Official
Title or Position	:	OWNER/SOLE MEMBER
Name	:	LESLIE JACKSON-VALLADE
Credential	:
Telephone Number	:	443-519-9388

Provider Enumeration Date	:	12/06/2023
Last Update Date	:	12/06/2023

Similar Medicare Providers

1457051898 — LESLIE JACKSON-VALLADE LDN
Practice Location Address:

3851 PENTLAND HILLS DR
UPPER MARLBORO, MD
20774-9242

Practice Phone: 443-519-9388
Practice Fax:

1346892742 — BEULAH NURSING SERVICES LLC
Practice Location Address:

1401 MERCANTILE LN STE 421
UPPER MARLBORO, MD
20774-4321

Practice Phone: 301-395-7874
Practice Fax:

1679428478 — HOLDING SPACE SERVICES
Practice Location Address:

3037 LEMONADE LN
UPPER MARLBORO, MD
20774-2736

Practice Phone: 202-247-0279
Practice Fax:

1760865091 — SHANTAE ELLIOTT
Practice Location Address:

3037 LEMONADE LN
UPPER MARLBORO, MD
20774-2736

Practice Phone: 240-324-7535
Practice Fax:

1558216267 — CHANCELINE FEMBE OJONG
Practice Location Address:

2641 SIERRA NEVADA AVE
UPPER MARLBORO, MD
20774-2687

Practice Phone: 240-606-6031
Practice Fax:

1063367688 — ORISAKWE HEALTHCARE SERVICES LLC
Practice Location Address:

11571 DUNLORING DR
UPPER MARLBORO, MD
20774-5753

Practice Phone: 240-413-8453
Practice Fax:

Directions to “ALPHA WELLNESS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.