Active NPI
Closup I, Inc.
- Assisted Living Facility
- Frederick, MD
National Provider Identifier
1962484857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 10AL011
- Legal business name
- CLOSUP I, INC.
- Practice address
- 5800 Genesis LN
Frederick, MD 21703-5116 - Phone
- (301) 694-3100
- Fax
- (301) 694-0745
- NPI assigned
- Nov 16, 2005
- 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
- Ms. Raeann E. Butler
- Title
- Administrator
- Phone
- (301) 694-3100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 10AL011 | MD | Primary |
| Assisted Living Facility | 310400000X | 10AL021 | MD |
Addresses
Primary practice location
5800 Genesis LN
Frederick, MD 21703-5116
Mailing address
5800 Genesis LN
Frederick, MD 21703-5116
Phone (301) 694-3100
Other names 1
- Edenton Retirement Community
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2060415 | Closup I, Inc Dba Edenton Retirement Community | Certificate of waiver | Jun 10, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962484857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 GENESIS LN",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217035116",
"telephone_number": "301-694-3100",
"fax_number": "301-694-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 GENESIS LN",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217035116",
"telephone_number": "301-694-3100",
"fax_number": "301-694-0745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLOSUP I, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "RAEANN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "301-694-3100",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MD",
"license": "10AL011",
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MD",
"license": "10AL021",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Edenton Retirement Community",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.