Organization Active NPI

Castles of Love Assisted Living Homes, LLC

  • Assisted Living Facility
  • Upper Marlboro, MD
National Provider Identifier
1639327463
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
16AL0803-B Issued in MD
Legal business name
CASTLES OF LOVE ASSISTED LIVING HOMES, LLC
Practice address
14711 Mount Calvert Rd
Upper Marlboro, MD 20772-9606
Phone
(301) 952-9008
Fax
(301) 952-7532
NPI assigned
Sep 5, 2008
Last updated
Sep 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Ms. Charlotte Harris Branch, M.H.S./C.N.A.
Title
President & Chief Executive Officer
Phone
(301) 249-4594

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 16AL178-F MD
Assisted Living Facility 310400000X 16AL0702-C MD
Assisted Living Facility 310400000X 16AL0803-B MD Primary

Addresses

Primary practice location

14711 Mount Calvert Rd
Upper Marlboro, MD 20772-9606

Mailing address

15554 Peach Walker Dr
Bowie, MD 20716-1412
Phone (301) 249-4594

Other identifiers 3

IdentifierTypeStateIssuer
227854501MedicaidMD
227854502MedicaidMD
227854503MedicaidMD

Other names 1

  • Harris-Branch Enterprises, Inc. Former legal business 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": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1639327463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15554 PEACH WALKER DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161412",
            "telephone_number": "301-249-4594",
            "fax_number": "301-218-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14711 MOUNT CALVERT RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207729606",
            "telephone_number": "301-952-9008",
            "fax_number": "301-952-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLES OF LOVE ASSISTED LIVING HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "301-249-4594",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.H.S./C.N.A."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL178-F",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL0702-C",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL0803-B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227854501",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227854502",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227854503",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris-Branch Enterprises, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.