E & E Adult Day Care Center LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

E & E ADULT DAY CARE CENTER LLC

Practice address

12802 Dominics Bequest CT
Bowie, MD 20720-5623

Phone

(240) 354-4069

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Emmerencia Mordi, LPN

Title

Ceo

Phone

(240) 354-4069

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1942064845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 DOMINICS BEQUEST CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205623",
            "telephone_number": "240-354-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 DOMINICS BEQUEST CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205623",
            "telephone_number": "240-354-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & E ADULT DAY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "MORDI",
        "authorized_official_first_name": "EMMERENCIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-354-4069",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Bowie, MD
• Providers in Bowie, MD by specialty
• Developmental Disabilities Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.