Organization Active NPI

Family Services, Inc/the Support Center

  • Adult Day Care Clinic/Center
  • Rockville, MD
National Provider Identifier
1023356847
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
15 007 C Issued in MD
Legal business name
FAMILY SERVICES, INC/THE SUPPORT CENTER
Practice address
1010 Grandin Ave
Rockville, MD 20851-1300
Phone
(301) 738-2250
Fax
(301) 309-1797
NPI assigned
Jan 29, 2013
Organization subpart
Yes
Parent organization
FAMILY SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paulette Jacqueline Craddock, RN BSN
Title
Program Director
Phone
(301) 738-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 15 007 C MD Primary

Addresses

Primary practice location

1010 Grandin Ave
Rockville, MD 20851-1300

Mailing address

1010 Grandin Ave
Rockville, MD 20851-1300
Phone (301) 738-2250

National Provider Directory

National Provider Directory
Tax ID family
Family Service Agency17 organizations share this tax ID, including this one
Part of
Family Service Agency

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

1010 Grandin Ave
Rockville, MD 20851
Phone (301) 252-5380

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1023356847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 GRANDIN AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511300",
            "telephone_number": "301-738-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 GRANDIN AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511300",
            "telephone_number": "301-738-2250",
            "fax_number": "301-309-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES, INC/THE SUPPORT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY SERVICES, INC",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "CRADDOCK",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "JACQUELINE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "301-738-2250",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "15 007 C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.