Active NPI
Royal Assisted Living Inc
- Assisted Living Facility
- Odenton, MD
National Provider Identifier
1669041653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ROYAL ASSISTED LIVING INC
- Practice address
- 453 Oakton Rd
Odenton, MD 21113-1604 - Phone
- (443) 214-3028
- Fax
- (443) 458-6278
- NPI assigned
- Jun 23, 2021
- 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
- Phiona Quincy Bareebe
- Title
- Ceo/Owner
- Phone
- (443) 703-6078
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
453 Oakton Rd
Odenton, MD 21113-1604
Mailing address
453 Oakton Rd
Odenton, MD 21113-1604
Phone (443) 214-3028
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | royalassistedlivinginc@gmail.vom | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2334729 | Royal Assisted Living Inc | Certificate of waiver | Nov 30, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624406400000",
"number": "1669041653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 OAKTON RD",
"city": "ODENTON",
"state": "MD",
"postal_code": "211131604",
"telephone_number": "443-214-3028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 OAKTON RD",
"city": "ODENTON",
"state": "MD",
"postal_code": "211131604",
"telephone_number": "443-214-3028",
"fax_number": "443-458-6278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL ASSISTED LIVING INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A",
"authorized_official_last_name": "BAREEBE",
"authorized_official_first_name": "PHIONA",
"authorized_official_middle_name": "QUINCY",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "443-703-6078"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "royalassistedlivinginc@gmail.vom",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "453 Oakton Rd",
"city": "Odenton",
"state": "MD",
"country_code": "US",
"postal_code": "211131604",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Odenton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.