Organization Active NPI

Qualicare Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Lanham, MD
National Provider Identifier
1114446762
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
QUALICARE MEDICAL SUPPLIES LLC
Practice address
5001 Forbes Blvd Suite H
Office 10
Lanham, MD 20706-4425
Phone
(301) 577-4077
Fax
(301) 577-4577
NPI assigned
Sep 14, 2017
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Laverne Sylvia CephasNPI 1225577828
Title
Owner
Phone
(301) 577-4077

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

5001 Forbes Blvd Suite H
Office 10
Lanham, MD 20706-4425

Mailing address

5001 Forbes Blvd Suite H
Office 10
Lanham, MD 20706-4425
Phone (301) 577-4077

Other identifiers 2

IdentifierTypeStateIssuer
030250714MedicaidDC
290017300MedicaidMD

National Provider Directory

National Provider Directory

Locations

9320 Annapolis Rd
Ste 210
Lanham, MD 20706
Phone (301) 577-4077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1114446762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 FORBES BLVD SUITE H",
            "address_2": "OFFICE 10",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064425",
            "telephone_number": "301-577-4077",
            "fax_number": "301-577-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 FORBES BLVD SUITE H",
            "address_2": "OFFICE 10",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064425",
            "telephone_number": "301-577-4077",
            "fax_number": "301-577-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALICARE MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "CEPHAS",
        "authorized_official_first_name": "LAVERNE",
        "authorized_official_middle_name": "SYLVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-577-4077"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030250714",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290017300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.