COLLINGTON EPISCOPAL LIFE CARE COMMUNITY INC
NPI 1790767952
Skilled Nursing Facility in Mitchellville, MD

Active since November 15, 2005CLIA 21D0678713 · Waiver
10450 LOTTSFORD RD, MITCHELLVILLE, MD 20721(301) 925-9610(301) 541-5044 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Collington Episcopal Life Care Community Inc NPPES

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

COLLINGTON EPISCOPAL LIFE CARE COMMUNITY INC (NPI 1790767952) is a healthcare organization registered as a skilled nursing facility in Mitchellville, Maryland and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Larry Mabry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790767952
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOLLINGTON EPISCOPAL LIFE CARE COMMUNITY INC
Location Address10450 LOTTSFORD RDMitchellville, MD 20721-2734
Mailing Address10450 Lottsford RdMitchellville, MD 20721-2734 · (301) 925-9610 · Fax (301) 541-5044
Fax(301) 541-5044
Organization SubpartNo
Authorized OfficialLarry MabryCeo · (301) 541-5024
Enumeration DateNovember 15, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1790767952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MD · 16034
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License 16AL0340 (MD)

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0678713

Collington Episcopal Life Care Community · Mitchellville, MD
Active · expires Aug 31, 2026
CLIA Number21D0678713
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. George A. Hennawi
Laboratory Phone(301) 925-9610
Laboratory LocationCollington Episcopal Life Care Community10450 Lottsford Road, Mitchellville, MD 20721
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

General Practice
10450 LOTTSFORD RD
MITCHELLVILLE, MD 20721
Nurse Practitioner
10450 LOTTSFORD RD
BOWIE, MD 20721
Physical Therapist
10450 LOTTSFORD RD
MITCHELLVILLE, MD 20721
Speech-Language Pathologist
10450 LOTTSFORD RD
MITCHELLVILLE, MD 20721
Internal Medicine
10450 LOTTSFORD RD
MITCHELLVILLE, MD 20721

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 Collington Episcopal Life Care Community Inc's NPI number?

The NPI number for Collington Episcopal Life Care Community Inc is 1790767952. It was assigned to this organization in the NPPES registry on November 15, 2005.

Where is Collington Episcopal Life Care Community Inc located?

Collington Episcopal Life Care Community Inc is located at 10450 Lottsford Rd, Mitchellville, MD 20721. The listed phone number is (301) 925-9610.

What is Collington Episcopal Life Care Community Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Collington Episcopal Life Care Community Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0678713) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Collington Episcopal Life Care Community Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.