NPIMap

Organization Active NPI

Spring Meadows Assisted Living

  • Specialist
  • Silver Spring, MD
National Provider Identifier
1578629358
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15AL0345 Issued in MD
Legal business name
SPRING MEADOWS ASSISTED LIVING
Practice address
3420 Kilkenny St
Silver Spring, MD 20904-1737
Phone
(301) 572-7655
Fax
(301) 572-7655
NPI assigned
Dec 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mary Flora Sudan, RN
Title
Manager
Phone
(301) 572-7655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 15AL0345 MD Primary

Addresses

Primary practice location

3420 Kilkenny St
Silver Spring, MD 20904-1737

Mailing address

3420 Kilkenny St
Silver Spring, MD 20904-1737
Phone (301) 572-7655

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578629358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 KILKENNY ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041737",
            "telephone_number": "301-572-7655",
            "fax_number": "301-572-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 KILKENNY ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041737",
            "telephone_number": "301-572-7655",
            "fax_number": "301-572-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING MEADOWS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUDAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "FLORA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-572-7655",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "15AL0345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.