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BEULAH SPRING ASSISTED LIVING LLC
NPI 1093569402
Assisted Living Facility in Upper Marlboro, MD

Active since April 12, 2024
13908 EDSALL ST, UPPER MARLBORO, MD 20772(240) 602-7099 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beulah Spring Assisted Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEULAH SPRING ASSISTED LIVING LLC (NPI 1093569402) is a healthcare organization registered as an assisted living facility in Upper Marlboro, Maryland and active in the NPI registry since April 2024. The organization lists Regina Oton Ekong, Owner, as its authorized official.

NPPES Registry Identity

NPI1093569402
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBEULAH SPRING ASSISTED LIVING LLC
Location Address13908 EDSALL STUpper Marlboro, MD 20772-6849
Mailing Address13908 Edsall StUpper Marlboro, MD 20772-6849 · (240) 602-7099
Phone(240) 602-7099
Organization SubpartNo
Authorized OfficialRegina Oton EkongOwner · (240) 602-7099
Enumeration DateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1093569402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
13908 EDSALL ST, Upper Marlboro, MD 20772
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGINA EKONG
Nurse Practitioner (Psychiatric/Mental Health)
13908 EDSALL ST
UPPER MARLBORO, MD 20772
Prince George's County (301) 627-4564
BEULAHSPRING BEHAVIORAL HEALTH SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
13908 EDSALL ST
UPPER MARLBORO, MD 20772
Prince George's County (240) 602-7099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beulah Spring Assisted Living LLC's NPI number?

The NPI number for Beulah Spring Assisted Living LLC is 1093569402. It was assigned to this organization in the NPPES registry on April 12, 2024.

Where is Beulah Spring Assisted Living LLC located?

Beulah Spring Assisted Living LLC is located at 13908 Edsall St, Upper Marlboro, MD 20772. The listed phone number is (240) 602-7099.

What is Beulah Spring Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Beulah Spring Assisted Living LLC was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.