Provider Demographics
NPI:1346491982
Name:ARDMORE ENTERPRISES, INC.
Entity Type:Organization
Organization Name:ARDMORE ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONALDA
Authorized Official - Middle Name:MOSBY
Authorized Official - Last Name:LOVELACE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:301-306-2560
Mailing Address - Street 1:3010 LOTTSFORD VISTA RD
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-4001
Mailing Address - Country:US
Mailing Address - Phone:301-577-2575
Mailing Address - Fax:301-731-4551
Practice Address - Street 1:3010 LOTTSFORD VISTA RD
Practice Address - Street 2:
Practice Address - City:MITCHELLVILLE
Practice Address - State:MD
Practice Address - Zip Code:20721-4001
Practice Address - Country:US
Practice Address - Phone:301-577-2575
Practice Address - Fax:301-731-4551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0083251C00000X, 253Z00000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care