Arundel Lodge, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ARUNDEL LODGE, INC

Practice address

337 Brightseat Rd
Landover, MD 20785-4736

Phone

(443) 433-5900

NPI assigned

Jan 4, 2008

Last updated

Jan 4, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

ARUNDEL LODGE, INCAs reported in NPPES

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

Authorized official

Name

Kerry Lowry

Title

Billing Supervisor

Phone

(443) 433-5929

Specialties & licenses 1

Addresses

Part of

Arundel Lodge Inc

Locations

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1386829661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SOLOMONS ISLAND RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371102",
            "telephone_number": "443-433-5929",
            "fax_number": "410-841-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 BRIGHTSEAT RD",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854736",
            "telephone_number": "443-433-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNDEL LODGE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARUNDEL LODGE, INC",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "443-433-5929"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 4, 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.