Ameristar Assisted Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

16AL1059-B Issued in MD

Legal business name

AMERISTAR ASSISTED LIVING, INC.

Practice address

6604 Adrian St
New Carrollton, MD 20784-3610

Phone

(301) 474-7840

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Wilfred Kandie Chemwei Kandie

Title

Administrator

Phone

(301) 474-7840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1518402270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 ADRIAN ST",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843610",
            "telephone_number": "301-474-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6604 ADRIAN ST",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843610",
            "telephone_number": "301-474-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERISTAR ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "KANDIE",
        "authorized_official_first_name": "WILFRED KANDIE",
        "authorized_official_middle_name": "CHEMWEI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-474-7840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL1059-B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Furst Ambomu
• Khumbuzile Ambomu
• Blaise Asaah Ambujong
• Sheron Enjeck Ambujong
• Claurette Atud Ameck
• Ameristar Healthcare Services, Inc,
• Anacostia Multispecialty Partners
• Veronica Botame Andem
• Maxwell Eneigho Andong Sr., HHA
• Queeniva A Angum

• Assisted Living Facility in New Carrollton, MD
• Providers in New Carrollton, 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 Jan 4, 2017; 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.