Organization Active NPI

Capria Group LLC

  • Assisted Living Facility
  • Gaithersburg, MD
National Provider Identifier
1942147202
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CAPRIA GROUP LLC
Practice address
16617 Alden Ave
Gaithersburg, MD 20877-1503
Phone
(301) 204-7492
Fax
(301) 204-7492
NPI assigned
May 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Andrian Goodum
Title
Owner
Phone
(301) 204-7492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

16617 Alden Ave
Gaithersburg, MD 20877-1503

Mailing address

16617 Alden Ave
Gaithersburg, MD 20877-1503
Phone (301) 204-7492

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1942147202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16617 ALDEN AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771503",
            "telephone_number": "301-204-7492",
            "fax_number": "301-204-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16617 ALDEN AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771503",
            "telephone_number": "301-204-7492",
            "fax_number": "301-204-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPRIA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-03",
        "status": "A",
        "authorized_official_last_name": "GOODUM",
        "authorized_official_first_name": "ANDRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-204-7492"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.