KHADIJAH'S HOUSE INC NPI 1699688192

NPI Information

  • NPI: 1699688192
  • Provider Name: KHADIJAH'S HOUSE INC
  • Classification: Nursing Home Administrator - 376G00000X
  • Entity Type: Organization
  • Address: 15410 ATHEY RD
    BURTONSVILLE, MD
    ZIP 20866
  • Phone: (410) 379-0545

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NPI Details

KHADIJAH'S HOUSE INC is a nursing home administrator in Burtonsville, MD. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. KHADIJAH'S HOUSE INC NPI is 1699688192. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15410 ATHEY RD
BURTONSVILLE, MD
ZIP 20866-532
Phone: (410) 379-0545

The provider's authorized official is Serif Mumuney .
The authorized official title is Assisted Living Manager and has the following contact phone number (410) 379-0545.

The enumeration date for this NPI number is 9/24/2026 and was last updated on 9/24/2026.

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
1376G00000XNursing Home AdministratorYes

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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