IMMACULATE SUPPORTED SERVICES, LLC
NPI 1265131171
Clinic/Center - Developmental Disabilities in Lanham, MD

Q: What is Immaculate Supported Services, LLC's NPI number?

The NPI number for Immaculate Supported Services, LLC is 1265131171. It was assigned to this organization in the NPPES registry on February 28, 2023.

Q: What is Immaculate Supported Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since February 28, 2023

9133 LANHAM SEVERN RD, LANHAM, MD 20706(302) 450-8848 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Immaculate Supported Services, Llc NPPES

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

IMMACULATE SUPPORTED SERVICES, LLC (NPI 1265131171) is a healthcare organization registered as a developmental disabilities in Lanham, Maryland and active in the NPI registry since February 2023. The organization lists Olumide Akinola, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1265131171

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameIMMACULATE SUPPORTED SERVICES, LLC

Location Address9133 LANHAM SEVERN RDLanham, MD 20706-2915

Mailing Address9133 Lanham Severn RdLanham, MD 20706-2915

Phone(302) 450-8848

Organization SubpartNo

Authorized OfficialOlumide AkinolaChief Executive Officer · (302) 450-8848

Enumeration DateFebruary 28, 2023

NPPES CertifiedFebruary 28, 2023

✔ NPI 1265131171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

9133 LANHAM SEVERN RD, Lanham, MD 20706

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Other Providers at the Same Location NPPES

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

T&T MEDICAL SERVICES INC

Assisted Living Facility

9133 LANHAM SEVERN RD
LANHAM, MD 20706

Prince George's County (240) 413-4507

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 Immaculate Supported Services, LLC's NPI number?

The NPI number for Immaculate Supported Services, LLC is 1265131171. It was assigned to this organization in the NPPES registry on February 28, 2023.

Where is Immaculate Supported Services, LLC located?

Immaculate Supported Services, LLC is located at 9133 Lanham Severn Rd, Lanham, MD 20706. The listed phone number is (302) 450-8848.

What is Immaculate Supported Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Immaculate Supported Services, LLC was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.