NPIMap

Organization Active NPI

Sister Maryam Home, LLC

  • Assisted Living Facility
  • Washington, DC
National Provider Identifier
1609267269
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SISTER MARYAM HOME, LLC
Practice address
4110 Ames St NE
14
Washington, DC 20019-3309
Phone
(202) 352-1510
NPI assigned
Feb 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Salimah HippsNPI 1053702613
Title
Founder
Phone
(202) 352-1510

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MD Primary

Addresses

Primary practice location

4110 Ames St NE
14
Washington, DC 20019-3309

Mailing address

13999 Old Columbia Pike
Silver Spring, MD 20904-4557

Other names 1

  • Sister Maryam Home, LLC Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1609267269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13999 OLD COLUMBIA PIKE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 AMES ST NE",
            "address_2": "14",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193309",
            "telephone_number": "202-352-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTER MARYAM HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "HIPPS",
        "authorized_official_first_name": "SALIMAH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "202-352-1510"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sister Maryam Home, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.