Organization Active NPI

Seldam Healthcare, LLC

  • Adult Care Home Facility
  • Alexandria, VA
National Provider Identifier
1487426193
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SELDAM HEALTHCARE, LLC
Practice address
435 N Armistead St
Alexandria, VA 22312-2858
Phone
(240) 491-6353
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Merlin FongangNPI 1558791962
Title
Ceo
Phone
(240) 491-6353

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

435 N Armistead St
Alexandria, VA 22312-2858

Mailing address

9311 Small Dr
Clinton, MD 20735-3538
Phone (240) 491-6353

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1487426193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 SMALL DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353538",
            "telephone_number": "240-491-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ARMISTEAD ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122858",
            "telephone_number": "240-491-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELDAM HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "FONGANG",
        "authorized_official_first_name": "MERLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-491-6353"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.