NPIMap

Organization Active NPI

Developmental Supports Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Windsor Mill, MD
National Provider Identifier
1063087930
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
DEVELOPMENTAL SUPPORTS CENTER
Practice address
7105 Rudisill CT Apt 1a
Windsor Mill, MD 21244-6533
Phone
(443) 527-9261
NPI assigned
May 24, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Olusegun Sofowote
Title
Executive Director
Phone
(443) 527-9261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

7105 Rudisill CT Apt 1a
Windsor Mill, MD 21244-6533

Mailing address

7105 Rudisill CT Apt 1a
Windsor Mill, MD 21244-6533
Phone (443) 527-9261

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1063087930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 RUDISILL CT APT 1A",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212446533",
            "telephone_number": "443-527-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 RUDISILL CT APT 1A",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212446533",
            "telephone_number": "443-527-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL SUPPORTS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "SOFOWOTE",
        "authorized_official_first_name": "OLUSEGUN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-527-9261"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.