Jeanettes House LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JEANETTES HOUSE LLC

Practice address

510 Carroll Walk Ave
Frederick, MD 21701-6943

Phone

(240) 936-0993

NPI assigned

Mar 12, 2026

Organization subpart

No

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

Authorized official

Name

Adelaide Abankwah

Title

Director

Phone

(301) 765-4798

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1346197076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22108 WINDING WOODS WAY",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208716366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CARROLL WALK AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016943",
            "telephone_number": "240-936-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTES HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "ABANKWAH",
        "authorized_official_first_name": "ADELAIDE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-765-4798"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.