Medicaid Personal Providers, Llc
LBN: Medicaid Personal Providers, Llc
Medicaid Personal Providers, Llc is an health care organization with primary practice located at 8555 16Th St Ste 105 , Silver Spring MD 20910-2802. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Medicaid Personal Providers, Llc can be contacted via phone (301) 495-6330, or through Greene, David Ellwood via phone (301) 495-6330.
Contact Information
Primary practice address
8555 16Th St Ste 105
Silver Spring MD 20910-2802
Phone: (301) 495-6330
Fax: (301) 495-6332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1598322059 |
|---|---|
| LBN Legal business name | Medicaid Personal Providers, Llc |
| DBA Doing business as | |
| Authorized official | Greene, David Ellwood |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 21st, 2019 |
| Last updated | May 21st, 2019 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598322059 | NPPES |
| Maryland | MEDICAID | R2091 |
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