Provider Demographics
NPI:1275520223
Name:ASBURY SOLOMONS INC.
Entity Type:Organization
Organization Name:ASBURY SOLOMONS INC.
Other - Org Name:ASBURY SOLOMONS ISLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DACAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:410-394-3030
Mailing Address - Street 1:11100 ASBURY CIR
Mailing Address - Street 2:
Mailing Address - City:SOLOMONS
Mailing Address - State:MD
Mailing Address - Zip Code:20688-3004
Mailing Address - Country:US
Mailing Address - Phone:410-394-3000
Mailing Address - Fax:410-394-3008
Practice Address - Street 1:11100 ASBURY CIR
Practice Address - Street 2:
Practice Address - City:SOLOMONS
Practice Address - State:MD
Practice Address - Zip Code:20688-3004
Practice Address - Country:US
Practice Address - Phone:410-394-3000
Practice Address - Fax:410-394-3008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04AL023310400000X
MD04-006314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD34OtherCCRC REGISTRATION - DOA
MD04-006OtherSNF LICENSE NUMBER
MD04AL023OtherASSISTED LIVING LICENSE #
MD04AL023OtherASSISTED LIVING LICENSE #