Organization Active NPI

Jjadha Homes LLC

  • Adult Care Home Facility
  • Brandywine, MD
National Provider Identifier
1063241206
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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

Updated by the provider on Jul 27, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.