NPIMap

Organization Active NPI

Selbon Care Inc

  • Developmentally Disabled Services Day Training Agency
  • Upper Marlboro, MD
National Provider Identifier
1326716044
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SELBON CARE INC
Practice address
15609 Hexham Ter
Upper Marlboro, MD 20774-8024
Phone
(301) 437-0443
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Dr. Eric Bonsu, PH.D
Title
Director/Ceo
Phone
(301) 437-0443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

15609 Hexham Ter
Upper Marlboro, MD 20774-8024

Mailing address

15609 Hexham Ter
Upper Marlboro, MD 20774-8024
Phone (301) 437-0443

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1326716044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15609 HEXHAM TER",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748024",
            "telephone_number": "301-437-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15609 HEXHAM TER",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748024",
            "telephone_number": "301-437-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELBON CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "BONSU",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "301-437-0443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.