Active NPI
Jjadha Homes LLC
- Adult Care Home Facility
- Brandywine, MD
National Provider Identifier
1063241206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- JJADHA HOMES LLC
- Practice address
- 14101 Molly Berry Rd
Brandywine, MD 20613-2306 - Phone
- (571) 282-8441
- NPI assigned
- Jul 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mariam Nabirye
- Title
- Administrator
- Phone
- (571) 282-8441
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary | ||
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
14101 Molly Berry Rd
Brandywine, MD 20613-2306
Mailing address
14101 Molly Berry Rd
Brandywine, MD 20613-2306
Phone (571) 282-8441
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722038400000",
"number": "1063241206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14101 MOLLY BERRY RD",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206132306",
"telephone_number": "571-282-8441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14101 MOLLY BERRY RD",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206132306",
"telephone_number": "571-282-8441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JJADHA HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-27",
"last_updated": "2024-07-27",
"certification_date": "2024-07-27",
"status": "A",
"authorized_official_last_name": "NABIRYE",
"authorized_official_first_name": "MARIAM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "571-282-8441"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandywine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.