NPIMap

Organization Active NPI

Success Is Yours Inc.

  • Adult Day Care Clinic/Center
  • Brentwood, MD
National Provider Identifier
1104151935
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
16-001 Issued in MD
Legal business name
SUCCESS IS YOURS INC.
Practice address
3601 Taylor St
Brentwood, MD 20722-1300
Phone
(301) 699-0850
Fax
(301) 699-0851
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Stephon Smith
Title
Vice President
Phone
(301) 821-2650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 16-001 MD Primary

Addresses

Primary practice location

3601 Taylor St
Brentwood, MD 20722-1300

Mailing address

3601 Taylor St
Brentwood, MD 20722-1300
Phone (301) 699-0850

National Provider Directory

National Provider Directory
Tax ID family
Success Is Yours Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3601 Taylor St
Brentwood, MD 20722
Phone (301) 927-4987

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1104151935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 TAYLOR ST",
            "city": "BRENTWOOD",
            "state": "MD",
            "postal_code": "207221300",
            "telephone_number": "301-699-0850",
            "fax_number": "301-699-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 TAYLOR ST",
            "city": "BRENTWOOD",
            "state": "MD",
            "postal_code": "207221300",
            "telephone_number": "301-699-0850",
            "fax_number": "301-699-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS IS YOURS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "301-821-2650"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "16-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.