Malador Home Residential Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MALADOR HOME RESIDENTIAL SERVICES LLC

Practice address

2720 Myrtlewood Dr
Dumfries, VA 22026-4574

Phone

(571) 388-0317

NPI assigned

Jun 6, 2024

Organization subpart

No

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

Authorized official

Name

Borteh Koroma

Title

Administrator

Phone

(571) 388-0317

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1891537387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 MYRTLEWOOD DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220264574",
            "telephone_number": "571-388-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 MYRTLEWOOD DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220264574",
            "telephone_number": "571-388-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALADOR HOME RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "KOROMA",
        "authorized_official_first_name": "BORTEH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "571-388-0317"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Edward Macdonnell, OCCUPATIONAL THERAPI
• Amanda Lynn Mafrici, M.S., CCC-SLP
• Sonica Mahat, NP-C
• Mohammad Naveed Makhdoom
• Alonna Donovan Makinson, LPC, LPCC-S
• Alia Tasnim Malik, MD
• Naima Malik, MD
• Dionne Melaine Maloney
• Maranatha Transport Services LLC
• Alexandra Marini

• In Home Supportive Care Agency in Dumfries, VA
• Providers in Dumfries, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.