NPIMap

Organization Active NPI

Saint Gabriel Healthcare Services LLC

Doing business as Saint Gabriel HelthCare Services LLC

  • Pediatric Skilled Nursing Facility
  • Glenn Dale, MD
National Provider Identifier
1225804503
Registry record updated Dec 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
SAINT GABRIEL HEALTHCARE SERVICES LLC
Doing business as
Saint Gabriel HelthCare Services LLC
Practice address
11402 Covered Bridge CT
Glenn Dale, MD 20769-9130
Phone
(301) 814-0037
NPI assigned
Nov 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2023

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

Authorized official

Name
Glenna L Kwame-Greene, BS., IN HMANAGEMENTNPI 1699577676
Title
Ceo
Phone
(301) 814-0037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

11402 Covered Bridge CT
Glenn Dale, MD 20769-9130

Mailing address

11402 Covered Bridge CT
Glenn Dale, MD 20769-9130
Phone (301) 814-0037

Other names 1

  • Saint Gabriel HelthCare Services LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saint Gabriel Healthcare Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

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": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701561600000",
    "number": "1225804503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 COVERED BRIDGE CT",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699130",
            "telephone_number": "301-814-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 COVERED BRIDGE CT",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699130",
            "telephone_number": "301-814-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT GABRIEL HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A",
        "authorized_official_last_name": "KWAME-GREENE",
        "authorized_official_first_name": "GLENNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-814-0037",
        "authorized_official_credential": "BS., IN HMANAGEMENT"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Gabriel HelthCare Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; 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.