Adaptive Life and Wellness LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADAPTIVE LIFE AND WELLNESS LLC

Practice address

14204 Marlborough Dr
Upper Marlboro, MD 20772-2813

Phone

(202) 618-1122

NPI assigned

Oct 24, 2020

Organization subpart

No

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

Authorized official

Name

Kevon Grant

Title

Owner

Phone

(717) 830-9321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606435200000",
    "number": "1245839877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14204 MARLBOROUGH DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722813",
            "telephone_number": "202-618-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14204 MARLBOROUGH DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722813",
            "telephone_number": "202-618-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE LIFE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "KEVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-830-9321"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.