NPIMap

Organization Active NPI

Amicable Living Inc

  • Developmental Disabilities Clinic/Center
  • Beltsville, MD
National Provider Identifier
1568959302
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
AMICABLE LIVING INC
Practice address
5020 Sunnyside Ave Ste 214
Beltsville, MD 20705-2307
Phone
(240) 476-2099
NPI assigned
Apr 17, 2018
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Rasaq Olatunji Davies
Title
President/Ceo
Phone
(240) 476-2099

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X MD
Intellectual & Developmental Disabilities Psychologist 103TM1800X DC
Developmental Disabilities Clinic/Center 261QD1600X NU Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X MD
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X DC

Addresses

Primary practice location

5020 Sunnyside Ave Ste 214
Beltsville, MD 20705-2307

Mailing address

5020 Sunnyside Ave Ste 214
Beltsville, MD 20705-2307
Phone (240) 476-2099

National Provider Directory

National Provider Directory

Locations

5020 Sunnyside Ave
Ste 214
Beltsville, MD 20705
Phone (240) 476-2099

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1568959302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 SUNNYSIDE AVE STE 214",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052307",
            "telephone_number": "240-476-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 SUNNYSIDE AVE STE 214",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052307",
            "telephone_number": "240-476-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICABLE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "RASAQ",
        "authorized_official_middle_name": "OLATUNJI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "240-476-2099"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "DC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

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