Monumental Supportive Living, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MONUMENTAL SUPPORTIVE LIVING, LLC

Practice address

10545 Winged Elm Cir
Manassas, VA 20110-2715

Phone

(202) 271-6953

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By 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

Jerrod Bowling

Title

Owner

Phone

(202) 271-6953

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1710882220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 SUTHERLAND CIR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10545 WINGED ELM CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102715",
            "telephone_number": "202-271-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENTAL SUPPORTIVE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "JERROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-271-6953"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.