Organization Active NPI

First Option Assisted Living

Doing business as First Option Assissted Living

  • Assisted Living Facility
  • Bowie, MD
National Provider Identifier
1861016693
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FIRST OPTION ASSISTED LIVING
Doing business as
First Option Assissted Living
Practice address
12902 Old Chapel Rd
Bowie, MD 20720-4616
Phone
(240) 334-1121
Fax
(240) 540-4963
NPI assigned
Jun 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Jennifer C Madubuko
Title
Administrator
Phone
(240) 334-1121

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Inpatient Hospice 315D00000X
Respite Care 385H00000X

Addresses

Primary practice location

12902 Old Chapel Rd
Bowie, MD 20720-4616

Mailing address

12902 Old Chapel Rd
Bowie, MD 20720-4616
Phone (240) 334-1121

Other identifiers 1

IdentifierTypeStateIssuer
R4422MedicaidMD

Other names 1

  • FIRST OPTION ASSISSTED LIVING Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BOWIE Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1861016693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12902 OLD CHAPEL RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204616",
            "telephone_number": "240-334-1121",
            "fax_number": "240-540-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 OLD CHAPEL RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204616",
            "telephone_number": "240-334-1121",
            "fax_number": "240-540-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST OPTION ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "MADUBUKO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-334-1121"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R4422",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BOWIE",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12902 Old Chapel Rd",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207204616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FIRST OPTION ASSISSTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.