Creatus Adult Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CREATUS ADULT ASSISTED LIVING, LLC

Doing business as

Q&ABC Creatus Adult Assisted Living, LLC

Practice address

13414 Marburg LN
Upper Marlboro, MD 20772-4809

Phone

(301) 741-9167

Fax

(301) 203-0820

NPI assigned

Jun 10, 2020

Last updated

Jun 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry D Quattlebaum

Title

Manager Partner

Phone

(301) 741-9167

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Q&ABC Creatus Adult Assisted Living, LLC Doing business as

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1710502224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13414 MARBURG LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724809",
            "telephone_number": "301-741-9167",
            "fax_number": "301-203-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13414 MARBURG LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724809",
            "telephone_number": "301-741-9167",
            "fax_number": "301-203-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATUS ADULT ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "QUATTLEBAUM",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER PARTNER",
        "authorized_official_telephone_number": "301-741-9167"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "Q&A SOLUTIONS, LLC",
            "identifier": "805338519",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Q&ABC Creatus Adult Assisted Living, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Upper Marlboro, MD
• Providers in Upper Marlboro, 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 Jun 11, 2020; 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.