OrganizationActive
Work Life Primary Care LLC
NPI 1669912259 · Primary Care Clinic/Center · Glen Burnie, MD
Provider details
- NPI number
- 1669912259
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bamoyo Nkongolo, Owner(302) 562-9437
- License
- C03263 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7954 Baltimore Annapolis Blvd
Suite 2-C
Glen Burnie, MD 21060-8188
Phone: (410) 487-6052
Fax: (443) 960-4203
Street-level locationGet directions
Mailing address
7954 Baltimore Annapolis Blvd
Glen Burnie, MD 21060-8188
Registry dates
- Enumerated
- 2017-03-01
- Last updated
- 2017-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.