Mt. Ephraim Nonprofit Comm Devel Corp

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MT. EPHRAIM NONPROFIT COMM DEVEL CORP

Practice address

608 Largo Rd
Gilmore Adult Care Center
Upper Marlboro, MD 20774-2122

Phone

(301) 808-9808

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Nuria Alvarez

Title

Compliance Officer

Phone

(301) 808-9808

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jos. A. Gilmore Sr Adult Care Center Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1083831135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 LARGO RD",
            "address_2": "GILMORE ADULT CARE CENTER",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742122",
            "telephone_number": "301-808-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 LARGO RD",
            "address_2": "GILMORE ADULT CARE CENTER",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742122",
            "telephone_number": "301-808-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. EPHRAIM NONPROFIT COMM DEVEL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "NURIA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "301-808-9808"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MD",
            "license": "14024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4791011 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jos. A. Gilmore Sr Adult Care Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jos. A. Gilmore Sr Adult Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sadrak Alain Mounengal Batissek
• Yuey Sang Moy, DDS
• Ayana Michelle Moyer
• Najae Moyer
• Nadine Peh Moyim
• Benevolent Mugroh
• Destiny Muh
• Carlton Chick Mujem
• Laura Mukum
• Multicultural Homeless Childrens Organization

• Adult Day Care Clinic/Center in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Adult Day Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.