Active NPI
Safe Living at Home, LLC
- Environmental Modification Occupational Therapist
- Clarksburg, MD
National Provider Identifier
1497320444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Environmental Modification Occupational Therapist
- Legal business name
- SAFE LIVING AT HOME, LLC
- Practice address
- 22614 Muscadine Dr
Clarksburg, MD 20871-3354 - Phone
- (301) 355-9636
- NPI assigned
- May 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yvette T Day, MS, OTR/L
- Title
- Ceo
- Phone
- (301) 355-9636
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapist | 225XE0001X | Primary |
Addresses
Primary practice location
22614 Muscadine Dr
Clarksburg, MD 20871-3354
Mailing address
22614 Muscadine Dr
Clarksburg, MD 20871-3354
Phone (301) 355-9636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1621555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735171200000",
"number": "1497320444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22614 MUSCADINE DR",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208713354",
"telephone_number": "301-355-9636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22614 MUSCADINE DR",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208713354",
"telephone_number": "301-355-9636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE LIVING AT HOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-21",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A",
"authorized_official_last_name": "DAY",
"authorized_official_first_name": "YVETTE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-355-9636",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS, OTR/L"
},
"taxonomies": [
{
"code": "225XE0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Environmental Modification",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.