EDENTON RETIREMENT COMMUNITY
NPI 1962484857
Assisted Living Facility in Frederick, MD

Q: What is Closup I, Inc.'s NPI number?

The NPI number for Closup I, Inc. is 1962484857. It was assigned to this organization in the NPPES registry on November 16, 2005. The provider is doing business as Edenton Retirement Community.

Q: What is Closup I, Inc.'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 Closup I, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 November 16, 2005CLIA 21D2060415 · Waiver

5800 GENESIS LN, FREDERICK, MD 21703(301) 694-3100(301) 694-0745 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edenton Retirement Community NPPES

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

EDENTON RETIREMENT COMMUNITY (NPI 1962484857) is a healthcare organization registered as an assisted living facility in Frederick, Maryland and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Raeann E. Butler, Administrator, as its authorized official.

NPPES Registry Identity

NPI1962484857

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCLOSUP I, INC.

Location Address5800 GENESIS LNFrederick, MD 21703-5116

Mailing Address5800 Genesis LnFrederick, MD 21703-5116 · (301) 694-3100 · Fax (301) 694-0745

Phone(301) 694-3100

Fax(301) 694-0745

Organization SubpartNo

Authorized OfficialRaeann E. ButlerAdministrator · (301) 694-3100

Enumeration DateNovember 16, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1962484857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Licenses✔ Licensed in MD · 10AL011✔ Licensed in MD · 10AL021

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.

5800 GENESIS LN, Frederick, MD 21703

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Other Names 1

Doing Business AsEdenton Retirement Community

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 21D2060415

Closup I, Inc Dba Edenton Retirement Community · Frederick, MD

Active · expires Jun 10, 2027

CLIA Number21D2060415

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 11, 2025

Certificate Expiration DateJune 10, 2027

Laboratory DirectorTiara Y. Weedon

Laboratory Phone(301) 694-3100

Laboratory LocationClosup I, Inc Dba Edenton Retirement Community5800 Genesis Lane, Frederick, MD 21703

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

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

T.J ROCK ENTERPRISES, INC.

Skilled Nursing Facility

5800 GENESIS LN
FREDERICK, MD 21703

Frederick County (301) 831-4128

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 Closup I, Inc.'s NPI number?

The NPI number for Closup I, Inc. is 1962484857. It was assigned to this organization in the NPPES registry on November 16, 2005. The provider is doing business as Edenton Retirement Community.

Where is Closup I, Inc. located?

Closup I, Inc. is located at 5800 Genesis Ln, Frederick, MD 21703. The listed phone number is (301) 694-3100.

What is Closup I, Inc.'s specialty?

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

Does Closup I, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2060415) is associated with this NPI, valid through June 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Closup I, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.