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DOMINION RESIDENCE OF MARYLAND,INC
NPI 1871255687
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lanham, MD

Active since October 08, 2021
4415 NICOLE DR STE G, LANHAM, MD 20706(301) 624-9404(301) 306-2022 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dominion Residence Of Maryland,inc NPPES

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

DOMINION RESIDENCE OF MARYLAND,INC (NPI 1871255687), doing business as Dominion Residence Of Maryland, Inc, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Lanham, Maryland and active in the NPI registry since October 2021. The organization lists Thomas Bechem, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1871255687
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDOMINION RESIDENCE OF MARYLAND,INC
Location Address4415 NICOLE DR STE GLanham, MD 20706-4357
Mailing Address4415 Nicole Dr Ste GLanham, MD 20706-4357 · (301) 624-9404
Phone(301) 624-9404
Fax(301) 306-2022
Organization SubpartNo
Authorized OfficialThomas BechemExecutive Director · (301) 624-9404
Enumeration DateOctober 8, 2021
NPPES CertifiedOctober 8, 2021
✔ NPI 1871255687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4415 NICOLE DR STE G, Lanham, MD 20706
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Other Names 1

Former Legal Business NameDominion Residence Of Maryland, Inc

Other Providers at the Same Location NPPES

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

THOMAS TITO NDAKWE
Home Health Aide
4415 NICOLE DR STE G
LANHAM, MD 20706
Prince George's County (301) 306-2020

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 Dominion Residence Of Maryland,inc's NPI number?

The NPI number for Dominion Residence Of Maryland,inc is 1871255687. It was assigned to this organization in the NPPES registry on October 8, 2021. The provider was formerly known as Dominion Residence Of Maryland, Inc.

Where is Dominion Residence Of Maryland,inc located?

Dominion Residence Of Maryland,inc is located at 4415 Nicole Dr Ste G, Lanham, MD 20706. The listed phone number is (301) 624-9404.

What is Dominion Residence Of Maryland,inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Dominion Residence Of Maryland,inc was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.