Organization Active NPI

Stoneridge Seniors Residence

  • Assisted Living Facility
  • Lanham, MD
National Provider Identifier
1295698488
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
STONERIDGE SENIORS RESIDENCE
Practice address
10100 Annapolis Road
Lanham, MD 20706
Phone
(240) 481-1606
NPI assigned
Dec 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Camelite Dominique
Title
Manager
Phone
(240) 481-1606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10100 Annapolis Road
Lanham, MD 20706

Mailing address

10100 Annapolis Rd
Lanham, MD 20706-2015
Phone (240) 481-1606

Other names 1

  • StoneRidge Seniors Residence Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1295698488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ANNAPOLIS RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062015",
            "telephone_number": "240-481-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 ANNAPOLIS ROAD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "20706",
            "telephone_number": "240-481-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONERIDGE SENIORS RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "DOMINIQUE",
        "authorized_official_first_name": "CAMELITE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-481-1606"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneRidge Seniors Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.