MEDICARE: JAROMA DISTINCT CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	324500000X	Substance Abuse Rehabilitation Facility
2	3245S0500X	Children's Substance Abuse Rehabilitation Facility
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
4	276400000X	Substance Use Disorder Rehabilitation Hospital Unit
5	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1669210209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAROMA DISTINCT CARE INC

Provider Business Mailing Address
First Line	:	15800 PERKINS LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-1641
Country	:	US
Telephone Number	:	240-929-4276
Fax Number	:	240-334-2851

Provider Business Practice Location Address
First Line	:	15800 PERKINS LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-1641
Country	:	US
Telephone Number	:	240-929-4276
Fax Number	:	240-334-2851

Authorized Official
Title or Position	:	OWNER
Name	:	RITA EMANKWA ELAD
Credential	:	RN
Telephone Number	:	240-550-3685

Provider Enumeration Date	:	07/17/2024
Last Update Date	:	06/01/2026

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Directions to “JAROMA DISTINCT CARE INC ” Practice Location

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