Collington Episcopal Life Care Community Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

16034 Issued in MD

Legal business name

COLLINGTON EPISCOPAL LIFE CARE COMMUNITY INC

Practice address

10450 Lottsford Rd
Mitchellville, MD 20721-2734

Phone

(301) 925-9610

Fax

(301) 541-5044

NPI assigned

Nov 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Larry Mabry

Title

Ceo

Phone

(301) 541-5024

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1790767952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 LOTTSFORD RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207212734",
            "telephone_number": "301-925-9610",
            "fax_number": "301-541-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 LOTTSFORD RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207212734",
            "telephone_number": "301-925-9610",
            "fax_number": "301-541-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINGTON EPISCOPAL LIFE CARE COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MABRY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-541-5024",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL0340",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "16034",
            "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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.