Xiao L Chen

Individual provider Active NPI Adult Care Home Facility · Boyds, MD

NPI 1285430892 · NPPES record last updated Feb 24, 2025

Key facts

NPI
1285430892
Entity type
Individual (NPI type 1)
Primary specialty
Adult Care Home Facility 311ZA0620X
Practice address
18109 Dark Star Way
Boyds, MD 20841-6100
Phone
(301) 538-2754
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Yes

Addresses

Primary practice location

18109 Dark Star Way
Boyds, MD 20841-6100

Mailing address

18109 Dark Star Way
Boyds, MD 20841-6100
Phone (301) 538-2754

Other providers in Boyds, MD

All providers in Boyds, MD · Adult Care Home Facility in Maryland

Sources for this page

Verify at the official NPI Registry.