Twenty Pack Management Corp.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10AL013 Issued in MD

Legal business name

TWENTY PACK MANAGEMENT CORP.

Practice address

990 Waterford Dr
Frederick, MD 21702-4414

Phone

(301) 663-9500

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Cody Tower

Title

Executive Director

Phone

(301) 663-9500

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Assisted Living - Frederick Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Sunrise Assisted Living - Frederick3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Twenty Pack Management Corp

  • Assisted Living Facility
  • Arlington, VA
  • NPI 1790153930
  NPD tax ID
• Twenty Pack Management Corporation

  • Assisted Living Facility
  • Arlington, VA
  • NPI 1831574078
  NPD tax ID

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1962693606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 WATERFORD DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024414",
            "telephone_number": "301-663-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 WATERFORD DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024414",
            "telephone_number": "301-663-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWENTY PACK MANAGEMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "TOWER",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-663-9500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "10AL013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Assisted Living - Frederick",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Sheryl Tydings, LCSW-C
• Abigail Tye, M.S., CCC-SLP

• Assisted Living Facility in Frederick, MD
• Providers in Frederick, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.

Verify at the official NPI Registry.