NPIMap

Organization Active NPI

Gambrills Sisters Health Care Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cheverly, MD
National Provider Identifier
1184469579
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GAMBRILLS SISTERS HEALTH CARE SERVICES LLC
Practice address
6490 Landover Rd
Cheverly, MD 20785-1443
Phone
(240) 437-2705
NPI assigned
Jun 27, 2024
Organization subpart
Yes
Parent organization
GAMBRILLS SISTERS HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Fatu KoromaNPI 1053955104
Title
Owner
Phone
(240) 437-2705

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6490 Landover Rd
Cheverly, MD 20785-1443

Mailing address

106 Calumet CT
Gambrills, MD 21054-1060
Phone (240) 437-2705

National Provider Directory

National Provider Directory
Tax ID family
Gambrills Sisters Health Care3 organizations share this tax ID, including this one
Part of
Gambrills Sisters Health Care

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1184469579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CALUMET CT",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541060",
            "telephone_number": "240-437-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER RD",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851443",
            "telephone_number": "240-437-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMBRILLS SISTERS HEALTH CARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GAMBRILLS SISTERS HEALTH CARE",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "KOROMA",
        "authorized_official_first_name": "FATU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-437-2705"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.