Provider Demographics
NPI:1558034272
Name:ST. MARY'S COMMUNITY SERVICES, INC
Entity Type:Organization
Organization Name:ST. MARY'S COMMUNITY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINSHADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-701-3261
Mailing Address - Street 1:6903 100TH AVE
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3605
Mailing Address - Country:US
Mailing Address - Phone:240-701-3261
Mailing Address - Fax:
Practice Address - Street 1:6903 100TH AVE
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3605
Practice Address - Country:US
Practice Address - Phone:240-701-3261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities