Cares for Life Group Home

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CARES FOR LIFE GROUP HOME

Doing business as

Cares for Life Group Home

Practice address

14901 Rolling Meadows Rd Uppr Marlboro
Upper Marlboro, MD 20772-8338

Phone

(301) 627-1675

NPI assigned

Apr 22, 2021

Last updated

Apr 22, 2021By 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

Abdul Karim Mansaray

Title

Organizer

Phone

(571) 575-3555

Specialties & licenses 1

Addresses

Other names 1

• CARES FOR LIFE GROUP HOME Doing business as

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1740862523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 ROLLING MEADOWS RD UPPR MARLBORO",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728338",
            "telephone_number": "571-575-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 ROLLING MEADOWS RD UPPR MARLBORO",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728338",
            "telephone_number": "301-627-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARES FOR LIFE GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "MANSARAY",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "KARIM",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "571-575-3555"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARES FOR LIFE GROUP HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.