Active NPI
Khadijah's House Inc
- Nursing Home Administrator
- Burtonsville, MD
National Provider Identifier
1699688192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- Legal business name
- KHADIJAH'S HOUSE INC
- Practice address
- 15410 Athey Rd
Burtonsville, MD 20866-1532 - Phone
- (410) 379-0545
- NPI assigned
- Sep 24, 2026
- Last updated
- Sep 24, 2026
- 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
- Mr. Serif Mumuney
- Title
- Assisted Living Manager
- Phone
- (410) 379-0545
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | Primary |
Addresses
Primary practice location
15410 Athey Rd
Burtonsville, MD 20866-1532
Mailing address
15410 Athey Rd
Burtonsville, MD 20866-1532
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Basic Emergency Medical Technician
- Burtonsville, MD
- NPI 1780597286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790208000000",
"number": "1699688192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15410 ATHEY RD",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15410 ATHEY RD",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661532",
"telephone_number": "410-379-0545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHADIJAH'S HOUSE INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A",
"authorized_official_last_name": "MUMUNEY",
"authorized_official_first_name": "SERIF",
"authorized_official_title_or_position": "ASSISTED LIVING MANAGER",
"authorized_official_telephone_number": "410-379-0545",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nursing Home Administrator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burtonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.