Healthcare Provider Details

I. General information

NPI: 1538085139
Provider Name (Legal Business Name): SKIPPERS CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3106 LUMAR DR
FORT WASHINGTON MD
20744-2065
US

IV. Provider business mailing address

3106 LUMAR DR
FORT WASHINGTON MD
20744-2065
US

V. Phone/Fax

Practice location:
  • Phone: 301-661-9231
  • Fax: 301-661-9231
Mailing address:
  • Phone: 301-661-9231
  • Fax: 301-661-9231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES A. SKIPPER JR.
Title or Position: HOUSE MANAGER/CEO
Credential:
Phone: 301-661-9231