Organization Active NPI

Bethel Oaks Assisted Living

  • Assisted Living Facility
  • Columbia, MD
National Provider Identifier
1235041948
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BETHEL OAKS ASSISTED LIVING
Practice address
6322 Gray Sea Way
Columbia, MD 21045-7408
Phone
(703) 651-6172
NPI assigned
Sep 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Doreen Amoan, PHARMD
Title
Member
Phone
(703) 651-6172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6322 Gray Sea Way
Columbia, MD 21045-7408

Mailing address

6322 Gray Sea Way
Columbia, MD 21045-7408

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1235041948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 GRAY SEA WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210457408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 GRAY SEA WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210457408",
            "telephone_number": "703-651-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL OAKS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "AMOAN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-651-6172",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.