The Residence on Greenbelt

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

16AL491 Issued in MD

Legal business name

THE RESIDENCE ON GREENBELT

Practice address

9885 Greenbelt Road
Lanham, MD 20706

Phone

(301) 486-1590

Fax

(301) 486-1591

NPI assigned

Jul 6, 2011

Last updated

Jul 6, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

INTEGRACARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Ms. Jennifer M Malko

Title

Area Director Sales & Marketing

Phone

(724) 940-5544

Specialties & licenses 1

Addresses

Other names 1

• Rexford Place Other name

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1467749911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9885 GREENBELT ROAD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "20706",
            "telephone_number": "301-486-1590",
            "fax_number": "301-486-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9885 GREENBELT ROAD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "20706",
            "telephone_number": "301-486-1590",
            "fax_number": "301-486-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESIDENCE ON GREENBELT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRACARE CORPORATION",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "MALKO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AREA DIRECTOR SALES & MARKETING",
        "authorized_official_telephone_number": "724-940-5544",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rexford Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Lanham, MD
• Providers in Lanham, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.