Provider Demographics
NPI:1992688329
Name:ASAMCAM HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:ASAMCAM HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MFORNKEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ASAM EYONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-643-2405
Mailing Address - Street 1:7700 OLD BRANCH AVE STE B201
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-1605
Mailing Address - Country:US
Mailing Address - Phone:240-478-4248
Mailing Address - Fax:
Practice Address - Street 1:7700 OLD BRANCH AVE STE B201
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-1605
Practice Address - Country:US
Practice Address - Phone:240-478-4248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251J00000XAgenciesNursing Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness