Organization Active NPI

Bones on Wheels

  • Assisted Living Facility (Behavioral Disturbances)
  • Beltsville, MD
National Provider Identifier
1356590616
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
BONES ON WHEELS
Practice address
3432 Stonehall Dr
Beltsville, MD 20705-1028
Phone
(240) 535-9665
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Jorge Ivan Gomez
Title
X-Ray
Phone
(240) 535-9665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

3432 Stonehall Dr
Beltsville, MD 20705-1028

Mailing address

3432 Stonehall Dr
Beltsville, MD 20705-1028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1356590616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 STONEHALL DR",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 STONEHALL DR",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051028",
            "telephone_number": "240-535-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONES ON WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "X-RAY",
        "authorized_official_telephone_number": "240-535-9665"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.