Active NPI
Social Health Services Group Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Upper Marlboro, MD
National Provider Identifier
1871779819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- SOCIAL HEALTH SERVICES GROUP INC
- Practice address
- 7304 Loanda Dr
Upper Marlboro, MD 20772-4273 - Phone
- (301) 358-4447
- Fax
- (240) 547-0620
- NPI assigned
- Jan 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kedrick Edwin Sawyerr, MURP-MS URB.REG PLNG
- Title
- Executive Director/Ceo
- Phone
- (301) 358-4447
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | DDA-17939-07 | MD | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | DDA-17939-07 | MD |
Addresses
Primary practice location
7304 Loanda Dr
Upper Marlboro, MD 20772-4273
Mailing address
7304 Loanda Dr
Upper Marlboro, MD 20772-4273
Phone (301) 358-4447
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200787200000",
"number": "1871779819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7304 LOANDA DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207724273",
"telephone_number": "301-358-4447",
"fax_number": "240-547-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7304 LOANDA DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207724273",
"telephone_number": "301-358-4447",
"fax_number": "240-547-0620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCIAL HEALTH SERVICES GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-20",
"last_updated": "2008-01-20",
"status": "A",
"authorized_official_last_name": "SAWYERR",
"authorized_official_first_name": "KEDRICK",
"authorized_official_middle_name": "EDWIN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
"authorized_official_telephone_number": "301-358-4447",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MURP-MS URB.REG PLNG"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MD",
"license": "DDA-17939-07",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "MD",
"license": "DDA-17939-07",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.