Xavier-Clinton LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

16001 Issued in MD

Legal business name

XAVIER-CLINTON LLC

Practice address

9211 Stuart LN
Clinton, MD 20735-2712

Phone

(301) 868-3600

Fax

(301) 868-5883

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Charlotte Skaggs

Title

Bom

Phone

(301) 868-3600

Specialties & licenses 2

Addresses

Other names 1

• Clinton Nursing & Rehab Other name

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295732006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 STUART LN",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352712",
            "telephone_number": "301-868-3600",
            "fax_number": "301-868-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 STUART LN",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352712",
            "telephone_number": "301-868-3600",
            "fax_number": "301-868-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XAVIER-CLINTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "BOM",
        "authorized_official_telephone_number": "301-868-3600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MD",
            "license": "16001",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "16001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Nursing & Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sonna N. Woodhouse
• Monica Woodson
• Abeba Woyesa
• Secunda Tamara Wright-Perry, D.D.S.
• Tamika Wright, MS
• Wei Xu
• Dorcas Yahaya, FNP
• Mariam Yaktieen
• Andreana Yancey, LCSW-C
• Caylynn Yao, M.D.

• Nursing Facility/Intermediate Care Facility in Clinton, MD
• Providers in Clinton, MD by specialty
• Nursing Facility/Intermediate Care Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.