Organization Active NPI

Care Now Clinic LLC

  • Multi-Specialty Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1104347095
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CARE NOW CLINIC LLC
Practice address
9318 Gaither Rd Ste 245
Gaithersburg, MD 20877-1423
Phone
(301) 367-1533
Fax
(301) 527-0703
NPI assigned
Jun 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Shobha Latha Solomon, NPNPI 1447447974
Title
President
Phone
(301) 367-1533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Primary Care Clinic/Center 261QP2300X R120906 MD

Addresses

Primary practice location

9318 Gaither Rd Ste 245
Gaithersburg, MD 20877-1423

Mailing address

2040 Mayflower Dr
Silver Spring, MD 20905-5563
Phone (301) 367-1533

Other practice location 1

1645 Ridgely St Ste 100
Baltimore, MD 21230-2050
Phone (301) 367-1533

Other identifiers 1

IdentifierTypeStateIssuer
799420600MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180109000816 DC Part B Supplier - Clinic/Group Practice 1153687496 Receives reassigned benefits from 6 practitioners
Practice locations: Gaithersburg, MD
O20200402003427 MD Part B Supplier - Clinic/Group Practice 1153687496 Receives reassigned benefits from 4 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

1645 Ridgely St
Ste 100
Baltimore, MD 21230
Phone (301) 251-4702

9318 Gaither Rd
Ste 245
Gaithersburg, MD 20877
Phone (301) 367-1533

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1104347095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MAYFLOWER DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055563",
            "telephone_number": "301-367-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 GAITHER RD STE 245",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771423",
            "telephone_number": "301-367-1533",
            "fax_number": "301-527-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Ridgely St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212302050",
            "country_code": "US",
            "telephone_number": "301-367-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARE NOW CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_middle_name": "LATHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-367-1533",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R120906",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799420600",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.