Senior Care Guidance Group Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SENIOR CARE GUIDANCE GROUP INC.

Doing business as

Missionary Medical Supply Company

Practice address

4200 Forbes Blvd
Suite 200
Lanham, MD 20706-4342

Phone

(240) 696-5522

Fax

(301) 263-7770

NPI assigned

Jul 25, 2013

Organization subpart

No

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

Authorized official

Name

Letitia Ways

Title

President

Phone

(301) 437-5551

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Missionary Medical Supply Company Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1033551403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 FORBES BLVD",
            "address_2": "SUITE 200",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064342",
            "telephone_number": "240-696-5522",
            "fax_number": "301-263-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 FORBES BLVD",
            "address_2": "SUITE 200",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064342",
            "telephone_number": "240-696-5522",
            "fax_number": "301-263-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE GUIDANCE GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "WAYS",
        "authorized_official_first_name": "LETITIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-437-5551"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071315900",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4235614 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Missionary Medical Supply Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Lanham, MD
• Providers in Lanham, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.