1679217244 NPI number — MARYS CENTER FOR MATERNAL AND CHILD CARE INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679217244 NPI number — MARYS CENTER FOR MATERNAL AND CHILD CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARYS CENTER FOR MATERNAL AND CHILD CARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679217244
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2333 ONTARIO RD NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20009-2627
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-483-8196
Provider Business Mailing Address Fax Number:
202-483-0302

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8908 RIGGS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ADELPHI
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20783-1632
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
844-796-2797
Provider Business Practice Location Address Fax Number:
301-422-5935
Provider Enumeration Date:
04/20/2022

Additional Information

Authorized Official

Authorized Official Last Name:
POWELL-DAVIS
Authorized Official First Name:
MONIQUE
Authorized Official Middle Name:
MARGARETA
Authorized Official Title or Position:
CHIEF MEDICAL OFFICER
Authorized Official Telephone Number:
202-424-2655

Provider Taxonomy Codes

  • Taxonomy code: 172V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com