Organization Active NPI

Abundant Care Assisted Living

  • Skilled Nursing Facility
  • Riverdale, MD
National Provider Identifier
1578879987
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ABUNDANT CARE ASSISTED LIVING
Practice address
6209 Riverdale Rd
Riverdale, MD 20737-2149
Phone
(301) 655-0244
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Mrs. Maria Rose Reid, REGISTERED NURSE
Title
Manager
Phone
(301) 655-0244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6209 Riverdale Rd
Riverdale, MD 20737-2149

Mailing address

7201 Glen Pine St
Glenn Dale, MD 20769-9466
Phone (301) 655-0244

Other identifiers 1

IdentifierTypeStateIssuer
NO. 16AL0965-AOtherMDDHMH OFFICE OF HEALTH CARE QUALITY

Other names 1

  • Nursing Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1578879987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 GLEN PINE ST",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699466",
            "telephone_number": "301-655-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 RIVERDALE RD",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207372149",
            "telephone_number": "301-655-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT CARE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-655-0244",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHMH OFFICE OF HEALTH CARE QUALITY",
            "identifier": "NO. 16AL0965-A",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nursing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.