My Sister's Place, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

15AL0519-A Issued in MD

Legal business name

MY SISTER'S PLACE, LLC

Practice address

21106 Tall Cedar Way
Germantown, MD 20876-6051

Phone

(301) 515-7404

Fax

(301) 576-5448

NPI assigned

Apr 24, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Trease Rouse, RN

Title

Owner

Phone

(301) 516-7404

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461456000000",
    "number": "1679928931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21106 TALL CEDAR WAY",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208766051",
            "telephone_number": "301-515-7404",
            "fax_number": "301-576-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21106 TALL CEDAR WAY",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208766051",
            "telephone_number": "301-515-7404",
            "fax_number": "301-576-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SISTER'S PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-24",
        "last_updated": "2016-04-24",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "TREASE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-516-7404",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "15AL0519-A",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "15ALO519-A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Germantown, MD
• Providers in Germantown, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2016; 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.