Organization Active NPI

National Self-Directed Advocacy Network, LLC

  • Supports Brokerage Agency
  • Rockville, MD
National Provider Identifier
1033002167
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
NATIONAL SELF-DIRECTED ADVOCACY NETWORK, LLC
Practice address
5924 Holland Rd
Rockville, MD 20851-1922
Phone
(301) 332-4401
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Mr. Abimbola Adegun Ayorinde
Title
Founder
Phone
(301) 332-4401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

5924 Holland Rd
Rockville, MD 20851-1922

Mailing address

5924 Holland Rd
Rockville, MD 20851-1922
Phone (301) 332-4401

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1033002167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 HOLLAND RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511922",
            "telephone_number": "301-332-4401",
            "fax_number": "301-332-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 HOLLAND RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511922",
            "telephone_number": "301-332-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL SELF-DIRECTED ADVOCACY NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "AYORINDE",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_middle_name": "ADEGUN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "301-332-4401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "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 May 29, 2025; 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.