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NPI 1639000771ActiveOrganization· Assisted Living Facility· Accokeek, MD
Assisted Living Facility in Accokeek, Maryland, registered in NPPES in May 2026. The authorized official on file is Nicosi Harris, Assisted Living Facility Manager.
Overview
| NPI | 1639000771 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2026 |
| Last updated in NPPES | Sep 4, 2026 |
| Certified by provider | Sep 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
| Day Training, Developmentally Disabled Services | 251C00000X | — | — |
| Home Health | 251E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Assisted Living Facility providers in Accokeek
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