Active NPI
Ibis Community Services LLC
- Developmentally Disabled Services Day Training Agency
- Silver Spring, MD
National Provider Identifier
1770053183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- IBIS COMMUNITY SERVICES LLC
- Practice address
- 1738 Elton Rd Ste 200B
Silver Spring, MD 20903-1725 - Phone
- (240) 784-7640
- Fax
- (301) 650-5729
- NPI assigned
- Nov 28, 2018
- Organization subpart
- Yes
- Parent organization
- IBIS INDUSTRIES INTERNATIONAL LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhonda Seegobin
- Title
- President
- Phone
- (301) 915-5588
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Assisted Living Facility | 310400000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | |||
| Adult Companion | 372600000X | |||
| Respite Care | 385H00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
1738 Elton Rd Ste 200B
Silver Spring, MD 20903-1725
Mailing address
1738 Elton Rd Ste 200B
Silver Spring, MD 20903-1725
Phone (240) 784-7640
Other names 1
- Ibis Community Services LLC
National Provider Directory
National Provider DirectoryLocations
1738 Elton Rd
Ste 200B
Silver Spring, MD 20903
Phone (240) 784-7640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543363200000",
"number": "1770053183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1738 ELTON RD STE 200B",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209031725",
"telephone_number": "240-784-7640",
"fax_number": "301-650-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1738 ELTON RD STE 200B",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209031725",
"telephone_number": "240-784-7640",
"fax_number": "301-650-5729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IBIS COMMUNITY SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "IBIS INDUSTRIES INTERNATIONAL LLC",
"enumeration_date": "2018-11-28",
"last_updated": "2018-11-28",
"status": "A",
"authorized_official_last_name": "SEEGOBIN",
"authorized_official_first_name": "RHONDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-915-5588"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ibis Community Services LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.