Organization Active NPI

Affectionate Allies, Inc.

  • Developmental Disabilities Clinic/Center
  • Frederick, MD
National Provider Identifier
1578331963
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
AFFECTIONATE ALLIES, INC.
Practice address
617 W Patrick St Ste 243
Frederick, MD 21701-4027
Phone
(443) 545-6707
Fax
(410) 525-5283
NPI assigned
Dec 14, 2023
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Mr. Ademola Stephen Akinrogbe
Title
Administrator
Phone
(410) 525-5285

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU

Addresses

Primary practice location

617 W Patrick St Ste 243
Frederick, MD 21701-4027

Mailing address

617 W Patrick St Ste 243
Frederick, MD 21701-4027
Phone (410) 525-5285

National Provider Directory

National Provider Directory

Locations

617 W Patrick St
Ste 243
Frederick, MD 21701
Phone (443) 545-6707

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1578331963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W PATRICK ST STE 243",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014027",
            "telephone_number": "410-525-5285",
            "fax_number": "410-525-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W PATRICK ST STE 243",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014027",
            "telephone_number": "443-545-6707",
            "fax_number": "410-525-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFECTIONATE ALLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-03-15",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "AKINROGBE",
        "authorized_official_first_name": "ADEMOLA",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-525-5285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.