Organization Active NPI

Senai Adult & Geriatric Care LLC

  • Primary Care Clinic/Center
  • Clarksburg, MD
National Provider Identifier
1548975212
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SENAI ADULT & GERIATRIC CARE LLC
Practice address
23206 Linden Vale Dr
Clarksburg, MD 20871-4407
Phone
(301) 270-0641
Fax
(928) 268-0222
NPI assigned
Jan 17, 2023
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Dr. Yoseph Teweldebrhan, DNP, MPHNPI 1528508009
Title
Primary Care Provider
Phone
(301) 270-0641

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

23206 Linden Vale Dr
Clarksburg, MD 20871-4407

Mailing address

23206 Linden Vale Dr
Clarksburg, MD 20871-4407
Phone (301) 270-0641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240411000570 DC Part B Supplier - Clinic/Group Practice 8224476106 Practice locations: Clarksburg, MD

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1548975212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23206 LINDEN VALE DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714407",
            "telephone_number": "301-270-0641",
            "fax_number": "928-268-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23206 LINDEN VALE DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714407",
            "telephone_number": "301-270-0641",
            "fax_number": "928-268-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENAI ADULT & GERIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "TEWELDEBRHAN",
        "authorized_official_first_name": "YOSEPH",
        "authorized_official_title_or_position": "PRIMARY CARE PROVIDER",
        "authorized_official_telephone_number": "301-270-0641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Feb 21, 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.

Verify at the official NPI Registry.