=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285583211
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FM COMMUNITY CONNECT CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/23/2026
-----------------------------------------------------
Last Update Date | 01/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7100 GUILFORD DR STE 200
-----------------------------------------------------
City | FREDERICK
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21704-5264
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-667-6064
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7100 GUILFORD DR STE 200
-----------------------------------------------------
City | FREDERICK
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21704-5264
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-667-6064
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | RN
-----------------------------------------------------
Name | AILEEN MALOU
-----------------------------------------------------
Credential | REGISTERED NURSE
-----------------------------------------------------
Telephone | 240-667-6664
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 320600000X
-----------------------------------------------------
Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------