NPIMap

Organization Active NPI

Adol Assisted Living

Doing business as Adol Assisted Living Pine Tree House

  • Assisted Living Facility
  • Clinton, MD
National Provider Identifier
1710105614
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
16AL0839 Issued in MD
Legal business name
ADOL ASSISTED LIVING
Doing business as
Adol Assisted Living Pine Tree House
Practice address
4903 Plata St
Clinton, MD 20735-2437
Phone
(301) 297-7344
Fax
(301) 776-2339
NPI assigned
Apr 23, 2007
Last updated
Sep 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Wunmi Olatunde
Title
Manager
Phone
(301) 442-9663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 16AL0839 MD Primary

Addresses

Primary practice location

4903 Plata St
Clinton, MD 20735-2437

Mailing address

11209 Basswood Ter
Laurel, MD 20708-3173
Phone (301) 442-9663

Other names 1

  • Adol Assisted Living Pine Tree House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adol Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1710105614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 BASSWOOD TER",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083173",
            "telephone_number": "301-442-9663",
            "fax_number": "301-776-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 PLATA ST",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352437",
            "telephone_number": "301-297-7344",
            "fax_number": "301-776-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOL ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "OLATUNDE",
        "authorized_official_first_name": "WUNMI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-442-9663"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL0839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adol Assisted Living Pine Tree House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.