Gabriel Community Services Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GABRIEL COMMUNITY SERVICES INC

Practice address

11402 Covered Bridge CT
Glenn Dale, MD 20769-9130

Phone

(301) 814-0037

Fax

(877) 408-0066

NPI assigned

May 13, 2025

Last updated

May 13, 2025By 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

Lucy Immi K

Title

Administrator

Phone

(240) 584-8869

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenna Kwame-Greene

  • Health Psychologist
  • Glenn Dale, MD
  • NPI 1699577676
  NPD

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1861283517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 COVERED BRIDGE CT",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699130",
            "telephone_number": "240-584-8869",
            "fax_number": "301-814-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 COVERED BRIDGE CT",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699130",
            "telephone_number": "301-814-0037",
            "fax_number": "877-408-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "K",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "IMMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-584-8869"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "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": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelson Michael Figaro
• Lere Kareem Finnih
• Michele Fonou
• Ngankam Rachel Fonou, HHA
• Gilliam Ngwe Forchick
• Clifford Michael Galanis, M.D.
• Liam Tor Ge, PTA
• Elvis Romeo Wafo Ghomsi
• Michael Gibbons, MD
• Gig Home Health Care Agency, Inc

• Community/Behavioral Health Agency in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Community/Behavioral Health Agency in Maryland

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