Active NPI
Assistic Care Services Inc.
- Developmental Disabilities Clinic/Center
- Bowie, MD
National Provider Identifier
1609437631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R180802 | Other | DC | DOH BOARD OF NURSING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@assisticcareservicesinc.com |
National Provider Directory
National Provider DirectoryNPI 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.