Woodmore House Assisted Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WOODMORE HOUSE ASSISTED LIVING, INC.

Practice address

1717 Largo Rd
Upper Marlboro, MD 20774-8524

Phone

(240) 510-0935

Fax

(240) 319-7188

NPI assigned

Jul 23, 2025

Organization subpart

No

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

Authorized official

Name

Mr. David Charles Douglas Sr., JD, LLM

Title

Vice President/General Counsel

Phone

(443) 813-2687

Specialties & licenses 1

Addresses

Other names 2

• The Law Office of David Charles Douglas, LLC Doing business as
• The W Doing business as

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1306728977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 LARGO RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748524",
            "telephone_number": "240-510-0935",
            "fax_number": "240-319-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 LARGO RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748524",
            "telephone_number": "240-510-0935",
            "fax_number": "240-319-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMORE HOUSE ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "VICE PRESIDENT/GENERAL COUNSEL",
        "authorized_official_telephone_number": "443-813-2687",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "JD, LLM"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Law Office of David Charles Douglas, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The W",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nadia Janine Woodard
• Tammy Laverne Woodbury-Bellamy, M.S., CCC-SLP
• Tarja Melita Wooden Beckham
• Aysia Woodhouse
• Lauren Jeanine Woodley, CNM
• Karen Woodridge, LPN
• Woods Counseling and Therapy Services of Maryland Inc
• Daniel Mark Woods, LCPC
• Shannon R Woodson, CPNP
• Vanessa Wortham

• Assisted Living Facility in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.