Active NPI
Adonai Legacy Community Supports, Inc
- Developmentally Disabled Services Day Training Agency
- Upper Marlboro, MD
National Provider Identifier
1124939475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- ADONAI LEGACY COMMUNITY SUPPORTS, INC
- Practice address
- 12619 Cambleton Dr
Upper Marlboro, MD 20774-1762 - Phone
- (202) 733-0813
- NPI assigned
- Sep 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fabiola Saint-Sume, REGISTERED NURSE
- Title
- RN
- Phone
- (202) 733-0813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
12619 Cambleton Dr
Upper Marlboro, MD 20774-1762
Mailing address
12619 Cambleton Dr
Upper Marlboro, MD 20774-1762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789430400000",
"number": "1124939475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12619 CAMBLETON DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12619 CAMBLETON DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741762",
"telephone_number": "202-733-0813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADONAI LEGACY COMMUNITY SUPPORTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A",
"authorized_official_last_name": "SAINT-SUME",
"authorized_official_first_name": "FABIOLA",
"authorized_official_title_or_position": "RN",
"authorized_official_telephone_number": "202-733-0813",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
- Charlyn Adjei-Twum
- Beth Yvonne Adkins, M.S., LCPC
- Chanda Adkisson
- Adolfo Advisory, LLC (Pathways To Breakthroughs)
- Adonai Counseling Ministries
- Adoration Home Health Care Maryland, LLC (Adoration home Health Marlboro)
- Adroit Healthcare Services LLC
- Olayemi Abiola Adurota, FNP-C
- Advance Assisted Care (Advance Assisted Care Limited Liability Company)
- Advanced Asthma Allergy and Sinus Center P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.