Success Is Yours Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

16-002 Issued in MD

Legal business name

SUCCESS IS YOURS INC.

Practice address

10845 Lanham Severn Rd
Glenn Dale, MD 20769-9548

Phone

(301) 741-1316

Fax

(240) 573-3521

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Stephon Timothy Smith

Title

Vice President

Phone

(301) 821-2650

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Success Is Yours Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Success Is Yours

  • Community/Behavioral Health Agency
  • District Heights, MD
  • NPI 1023474665
  NPD tax ID
• Success Is Yours Inc.

  • Adult Day Care Clinic/Center
  • Brentwood, MD
  • NPI 1104151935
  NPD tax ID

Locations

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1710212543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6514 MARLBORO PIKE UNIT 47681",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207536531",
            "telephone_number": "301-741-1316",
            "fax_number": "240-573-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10845 LANHAM SEVERN RD",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699548",
            "telephone_number": "301-741-1316",
            "fax_number": "240-573-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS IS YOURS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHON",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "301-821-2650"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "16-002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.lproctor@siy1st.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10845 Lanham Severn Rd",
            "city": "Glenn Dale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207699548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Adult Day Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.