Living Good Care

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

LIVING GOOD CARE

Practice address

3133 Eutaw Forest Dr
Waldorf, MD 20603-4070

Phone

(301) 705-5498

Fax

(301) 705-5498

NPI assigned

Mar 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Philasteen Middleton, PH.D

Title

Owner

Phone

(301) 705-5498

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1236384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236384000000",
    "number": "1407097256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 EUTAW FOREST DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20603",
            "telephone_number": "301-705-5498",
            "fax_number": "301-705-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 EUTAW FOREST DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034070",
            "telephone_number": "301-705-5498",
            "fax_number": "301-705-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING GOOD CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-07",
        "last_updated": "2009-03-07",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "PHILASTEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-705-5498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2009; 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.