Fenwick Landing, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

08AL064F Issued in MD

Legal business name

FENWICK LANDING, LLC

Doing business as

The Dunroven and the Dagsboro

Practice address

11665 Doolittle Dr
Waldorf, MD 20602-2898

Phone

(301) 749-7611

Fax

(301) 970-2459

NPI assigned

Jan 4, 2011

Last updated

Jan 4, 2011By 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

Mrs. Karin M Lakin

Title

Partner

Phone

(301) 749-7611

Specialties & licenses 1

Addresses

Other names 1

• The Dunroven and the Dagsboro Doing business as

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": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1801190947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11665 DOOLITTLE DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022898",
            "telephone_number": "301-749-7611",
            "fax_number": "301-970-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11665 DOOLITTLE DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022898",
            "telephone_number": "301-749-7611",
            "fax_number": "301-970-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENWICK LANDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "LAKIN",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "301-749-7611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "08AL064F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dunroven and the Dagsboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig Faucette Sr.
• Desean Robert Faucette
• Felicia M. Nesbit, D.D.S., P.C.
• Felix J Aguto, DDS, PA
• Tanshanicka Shellamice Felton, DNP, FNP-BC
• Michele Ferguson, MS, LAT, ATC
• Alfred D Fielding
• Kendra Raynelle Fields, LMSW
• Sydonney Fields
• Vincent J Fighera, LCPC

• Assisted Living Facility in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.