Robisan Adult Group Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

ROBISAN ADULT GROUP HOME LLC

Practice address

8443 Bates Dr
Bowie, MD 20720-4478

Phone

(301) 922-6802

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Abigail Robertson-Sanchez, RN, MSN, CRNA

Title

Co-Owner

Phone

(301) 922-6802

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robisan Adult Group Home LLC Doing business as

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1306593256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 THOMPSON HILL CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054354",
            "telephone_number": "301-922-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8443 BATES DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204478",
            "telephone_number": "301-922-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBISAN ADULT GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON-SANCHEZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ABIGAIL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "301-922-6802",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN, CRNA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LLC",
            "identifier": "W21049879",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robisan Adult Group Home LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Robinson, LCSW-C
• Dannyelle Robinson
• Kimberly Robinson
• Marcus K Robinson
• Robert Quebec Robinson, BEHAVIOR TECHNICIAN
• Lindsay Roche
• Lori A. Rodey, PA-C
• Frances Rodriguez, M.D.
• Janet Alma Rogers, MA, CCC-SLP; NDT
• Melanie Rogers, PTA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bowie, MD
• Providers in Bowie, MD by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.