Citadel Management Group Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CITADEL MANAGEMENT GROUP INC.

Practice address

5360 Woodgate LN
Waldorf, MD 20601-4457

Phone

(202) 595-6447

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Mildred R Lamar

Title

Founder/Ceo

Phone

(202) 595-6447

Specialties & licenses 1

Addresses

Other names 1

• Richard's House Former legal business name

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1124632211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 BENT TREE WAY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016838",
            "telephone_number": "202-595-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 WOODGATE LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206014457",
            "telephone_number": "202-595-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL MANAGEMENT GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "LAMAR",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "202-595-6447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard's House",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.