Organization Active NPI

Royal Assisted Living Inc

  • Assisted Living Facility
  • Odenton, MD
National Provider Identifier
1669041653
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Jun 23, 2021

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address royalassistedlivinginc@gmail.vom Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2334729Royal Assisted Living Inc453 Oakton Rd, Odenton, MD 21113Certificate of waiverNov 30, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.