Rodney Vaughn

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Practice address

5021 Emo St
Capitol Heights, MD 20743-2861

Phone

(202) 568-0792

NPI assigned

Dec 16, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shepherd Senior Disabled Solutions

  • In Home Supportive Care Agency
  • Capitol Heights, MD
  • NPI 1639859762
  NPD Authorized official

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1497619167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 AMERICAN WAY APT 517",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207454534",
            "telephone_number": "202-568-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 EMO ST",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207432861",
            "telephone_number": "202-568-0792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18439 Shanna Dr",
            "address_purpose": "LOCATION",
            "city": "Accokeek",
            "state": "MD",
            "postal_code": "206073209",
            "country_code": "US",
            "telephone_number": "202-568-0792 x20341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1517 V St SE Apt 2",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200204828",
            "country_code": "US",
            "telephone_number": "202-568-0792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 V St SE Apt 2",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200204824",
            "country_code": "US",
            "telephone_number": "202-568-0792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 V St SE Apt 1",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200204824",
            "country_code": "US",
            "telephone_number": "202-568-0792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1517 V St SE Apt 1",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200204828",
            "country_code": "US",
            "telephone_number": "202-568-0792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "RODNEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kolbie Tracy
• Tricare Medical &Health Supplies, LLC
• True Kings TK Healthcare LLC
• Khamille Turnage, DPT
• S Valencia Tyrell, CPC
• Jose M Velasquez
• Village Academy of Maryland
• Dominick Vilsaint, DPT
• Ashley Void, PH.D. LGPC
• Jeffrey Voorhees

• Substance Use Disorder Rehabilitation Clinic/Center in Capitol Heights, MD
• Providers in Capitol Heights, MD by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.