Organization Active NPI

Assistic Care Services Inc.

  • Developmental Disabilities Clinic/Center
  • Bowie, MD
National Provider Identifier
1609437631
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
ASSISTIC CARE SERVICES INC.
Practice address
10117 Tulip Tree Dr
Bowie, MD 20721-3715
Phone
(240) 413-4355
NPI assigned
Jun 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Abayomi Vaughan, BSN, RN
Title
Ceo
Phone
(240) 413-4355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

10117 Tulip Tree Dr
Bowie, MD 20721-3715

Mailing address

10117 Tulip Tree Dr
Bowie, MD 20721-3715
Phone (240) 413-4355

Other identifiers 1

IdentifierTypeStateIssuer
R180802OtherDCDOH BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@assisticcareservicesinc.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1609437631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 TULIP TREE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213715",
            "telephone_number": "240-413-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 TULIP TREE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213715",
            "telephone_number": "240-413-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTIC CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "ABAYOMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-413-4355",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH BOARD OF NURSING",
            "identifier": "R180802",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@assisticcareservicesinc.com",
            "affiliation": "N",
            "address_1": "10117 Tulip Tree Dr",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207213715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.