Southern Maryland Center for Independent Living

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOUTHERN MARYLAND CENTER FOR INDEPENDENT LIVING

Practice address

38588 Brett Way
Suite 1
Mechanicsville, MD 20659-7218

Phone

(301) 884-4498

Fax

(301) 884-6099

NPI assigned

Apr 13, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Lidiya Belyovska

Title

Executive Director

Phone

(301) 884-4498

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1790219004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38588 BRETT WAY",
            "address_2": "SUITE 1",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206597218",
            "telephone_number": "301-884-4498",
            "fax_number": "301-884-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38588 BRETT WAY",
            "address_2": "SUITE 1",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206597218",
            "telephone_number": "301-884-4498",
            "fax_number": "301-884-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MARYLAND CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "BELYOVSKA",
        "authorized_official_first_name": "LIDIYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-884-4498",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324400800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Mechanicsville, MD
• Providers in Mechanicsville, MD by specialty
• Case Management Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.