OrganizationActive
St. Augustin Healthcare Services L.L.C
NPI 1831902915 · General Practice Registered Nurse · Upper Marlboro, MD
Provider details
- NPI number
- 1831902915
- Entity type
- Organization
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Basil Ndum, Manager(240) 872-6598
Specialties & taxonomies
Nursing Service Providers
Practice location
9105 Jousting Ln
Upper Marlboro, MD 20772-4388
Phone: (240) 872-6598
Approximate (ZIP-level) locationGet directions
Mailing address
3301 Richmond Hwy
Alexandria, VA 22305-3044
Other names (DBA / former)
- Former legal business name
- St. Augustin Healthcare Services L.L.C
Registry dates
- Enumerated
- 2025-01-31
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.