LABIL/ LABYEM LLC. NPI 1417596099

NPI Information

  • NPI: 1417596099
  • Provider Name: LABIL/ LABYEM LLC.
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • Address: 9233 MISTING CT
    WALDORF, MD
    ZIP 20603
  • Phone: (240) 278-1034

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NPI Details

LABIL/ LABYEM LLC. is a nursing care and pediatric skilled nursing facility in Waldorf, MD. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. LABIL/ LABYEM LLC. NPI is 1417596099. The provider is registered as an organization entity type.

The provider's business location address is:

9233 MISTING CT
WALDORF, MD
ZIP 20603-724
Phone: (240) 278-1034
Fax: (301) 638-0108

The provider's authorized official is Mariam Otunba .
The authorized official title is Admionistrator and has the following contact phone number (240) 278-1034.

The enumeration date for this NPI number is 12/31/2019 and was last updated on 12/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, PediatricYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12722444375MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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