Organization Active NPI

SNLJ Outpatient Care LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Landover, MD
National Provider Identifier
1457162190
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SNLJ OUTPATIENT CARE LLC
Practice address
8400 Corporate Dr Ste 435
Landover, MD 20785-2361
Phone
(301) 806-7750
NPI assigned
Jan 14, 2025
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Mrs. Stacye Brown LomanNPI 1447061874
Title
President
Phone
(301) 806-7750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

8400 Corporate Dr Ste 435
Landover, MD 20785-2361

Mailing address

8400 Corporate Dr Ste 435
Landover, MD 20785-2361
Phone (301) 806-7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250403000106 DC Part B Supplier - Clinic/Group Practice 2769903459 Receives reassigned benefits from 1 practitioner
Practice locations: Landover, MD

National Provider Directory

National Provider Directory

Locations

8400 Corporate Dr
Landover, MD 20785
Phone (301) 806-7750

8400 Corporate Dr
Ste 435
Landover, MD 20785
Phone (301) 806-7750

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1457162190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 CORPORATE DR STE 435",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207852361",
            "telephone_number": "301-806-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 CORPORATE DR STE 435",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207852361",
            "telephone_number": "301-806-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNLJ OUTPATIENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "BROWN LOMAN",
        "authorized_official_first_name": "STACYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-806-7750",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.