AEGIS HEALTHCARE
NPI 1417195702
Intermediate Care Facility, Mental Illness in Upper Marlboro, MD

Active since January 26, 2009
1705 CINNAMON TEAL WAY, UPPER MARLBORO, MD 20774(410) 499-4966 Get Directions Write a Review

NPPES record last updated: May 4, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aegis Healthcare NPPES

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

AEGIS HEALTHCARE (NPI 1417195702) is a healthcare organization registered as an intermediate care facility, mental illness in Upper Marlboro, Maryland and active in the NPI registry since January 2009. The organization lists Austin Ifedirah, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1417195702
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameAEGIS HEALTHCARE HOLDINGS, INC
Location Address1705 CINNAMON TEAL WAYUpper Marlboro, MD 20774-4003
Mailing Address1655 Fort Myer Dr, Suite 700Arlington, VA 22209-3113 · (410) 499-4966
Organization SubpartNo
Authorized OfficialAustin IfedirahPresident/ceo · (410) 499-4966
Enumeration DateJanuary 26, 2009
Last NPPES UpdateMay 4, 2009
NPI 1417195702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedHome InfusionTaxonomy 251F00000X
Also ListedHospice Care, Community BasedTaxonomy 251G00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
1705 CINNAMON TEAL WAY, Upper Marlboro, MD 20774

Other Names 1

Doing Business AsAegis Healthcare

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 Aegis Healthcare Holdings, Inc's NPI number?

The NPI number for Aegis Healthcare Holdings, Inc is 1417195702. It was assigned to this organization in the NPPES registry on January 26, 2009. The provider is doing business as Aegis Healthcare.

Where is Aegis Healthcare Holdings, Inc located?

Aegis Healthcare Holdings, Inc is located at 1705 Cinnamon Teal Way, Upper Marlboro, MD 20774. The listed phone number is (410) 499-4966.

What is Aegis Healthcare Holdings, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Aegis Healthcare Holdings, Inc was last updated on May 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.