Provider Demographics
NPI:1730666546
Name:ACUMEN CARE LLC
Entity Type:Organization
Organization Name:ACUMEN CARE LLC
Other - Org Name:ACUMEN CARE ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EZINNA
Authorized Official - Middle Name:ULOMA
Authorized Official - Last Name:MBALEWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-970-5310
Mailing Address - Street 1:14725 GOOD HOPE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-6020
Mailing Address - Country:US
Mailing Address - Phone:301-661-8365
Mailing Address - Fax:
Practice Address - Street 1:14725 GOOD HOPE RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-6020
Practice Address - Country:US
Practice Address - Phone:301-661-8365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15ALO554-A310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD=========Medicaid