OrganizationActive
Life Care Group Home
NPI 1275251126 · Mental Illness Community Based Residential Treatment Facility · Upper Marlboro, MD
Provider details
- NPI number
- 1275251126
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Abdul Mansaray, Vice Ceo(571) 575-3555
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14901 Rolling Meadows Rd
Upper Marlboro, MD 20772-8338
Phone: (301) 627-1675
Street-level locationGet directions
Mailing address
6403 Frenchmens Dr
Alexandria, VA 22312-1647
Other names (DBA / former)
- Former legal business name
- Life Care Group Home
- Doing business as
- Life Care Group Home
Registry dates
- Enumerated
- 2022-08-17
- Last updated
- 2022-08-17
- Certified
- 2022-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.