BAYOU ESTATES LLC
NPI 1184251753
Assisted Living Facility in Waldorf, MD

Q: What is Bayou Estates LLC's NPI number?

The NPI number for Bayou Estates LLC is 1184251753. It was assigned to this organization in the NPPES registry on March 24, 2020.

Q: What is Bayou Estates LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bayou Estates LLC was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 24, 2020

12203 HOLM OAK DR, WALDORF, MD 20601(301) 374-8932 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bayou Estates Llc NPPES

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

BAYOU ESTATES LLC (NPI 1184251753) is a healthcare organization registered as an assisted living facility in Waldorf, Maryland and active in the NPI registry since March 2020. The organization lists Ineisha Johnson Badarou, Owner, as its authorized official.

NPPES Registry Identity

NPI1184251753

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBAYOU ESTATES LLC

Location Address12203 HOLM OAK DRWaldorf, MD 20601-4524

Mailing Address12203 Holm Oak DrWaldorf, MD 20601-4524 · (301) 374-8932

Phone(301) 374-8932

Organization SubpartNo

Authorized OfficialIneisha Johnson BadarouOwner · (301) 503-6723

Enumeration DateMarch 24, 2020

NPPES CertifiedMarch 24, 2020

✔ NPI 1184251753 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.

12203 HOLM OAK DR, Waldorf, MD 20601

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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 Bayou Estates LLC's NPI number?

The NPI number for Bayou Estates LLC is 1184251753. It was assigned to this organization in the NPPES registry on March 24, 2020.

Where is Bayou Estates LLC located?

Bayou Estates LLC is located at 12203 Holm Oak Dr, Waldorf, MD 20601. The listed phone number is (301) 374-8932.

What is Bayou Estates 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 Bayou Estates LLC was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.