OrganizationActive
Ganiyu Balogun
NPI 1891055620 · Custodial Care Facility · Lanham, MD
Provider details
- NPI number
- 1891055620
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ganiyu Balogun, Manager(301) 494-4372
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
9410 Washington Blvd
Lanham, MD 20706-3016
Phone: (301) 494-4372
Street-level locationGet directions
Mailing address
9410 Washington Blvd
Lanham, MD 20706-3016
Registry dates
- Enumerated
- 2012-05-27
- Last updated
- 2012-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.