PEACE & GLORY MANOR, INC (NPI# 1003149733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003149733 |
| Entity Type | Organization |
| Organization Name | PEACE & GLORY MANOR, INC |
| Other Organization Name | PEACE & GLORY MANOR MEDICAL ADULT & SENIOR PLUS DAYCARE CENTER |
| Practice Address |
3829 Kilburn Rd Randallstown MD 21133-4655 |
| Practice Telephone | 4433869959 |
| Practice Fax Number | 4109224620 |
| Mailing Telephone | 4433869959 |
| Mailing Fax Number | 4109224620 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Authorized Official Name | MS. GLORIA LYNN BROWN - BRISTOL (OWNER) |
| Authorized Official Telephone | 4433869959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 305R00000X | Preferred Provider Organization | Managed Care Organizations | ||
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332S00000X | Hearing Aid Equipment | Suppliers | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 343800000X | Secured Medical Transport (VAN) | Transportation Services |
| Other Name | Type Code |
|---|---|
| Peace & Glory Manor Medical Adult & Senior Plus Daycare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386977015 | Peace & Glory Manor, Inc | Counselor | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-09-14 |
| 1104159839 | Peace & Glory Manor, Inc | Internal Medicine | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-09-14 |
| Street Address |
3829 KILBURN RD |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-4655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851525471 | Peace and Glory, Inc | Clinic/Center | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-05-11 |
| 1023344066 | Peace & Glory Manor, LLC | Registered Nurse | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-10-27 |
| 1821324849 | Peace & Glory Manor, LLC | Counselor | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-10-27 |
| 1164758249 | Rebekah Home Healthcare, LLC | Dietetic Technician, Registered | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-10-26 |
| 1073849154 | Rebekah Home Healthcare, LLC | Registered Nurse | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-10-26 |
| 1083949655 | Rebekah Home Healthcare,llc | Registered Nurse | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-10-15 |
| 1952636649 | Peace & Glory Manor,inc | Case Management | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-10-13 |
| 1386977015 | Peace & Glory Manor, Inc | Counselor | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-09-14 |
| 1104159839 | Peace & Glory Manor, Inc | Internal Medicine | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-09-14 |
| 1699900449 | Rebekah Home Healthcare, LLC | Clinic/Center | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 343800000X |
| Grouping | Transportation Services |
| Classification | Secured Medical Transport (VAN) |
| A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760901854 | Detailing Minds, Inc. | Secured Medical Transport (VAN) | 513 Millwheel Street, Capitol Heights, MD 20743 | 2017-09-11 |
| 1952846099 | Benjamin Ahlijah | Secured Medical Transport (VAN) | 816 Deepwood Ct, Bel Air, MD 21015-6372 | 2016-12-28 |
| 1285009241 | Md Transportation LLC | Secured Medical Transport (VAN) | 13126 Pennsylvania Ave, 103, Hagerstown, MD 21742-2755 | 2015-12-02 |
| 1013394147 | The A&n Executive Group LLC | Secured Medical Transport (VAN) | 15712 Dorset Rd, Unit T2, Laurel, MD 20707-5349 | 2015-04-27 |
| 1952797375 | Riverside Transportation LLC | Secured Medical Transport (VAN) | 1380 Odenton Rd, Odenton, MD 21113-1503 | 2015-04-13 |
| 1831471408 | Samuel Kande Ngole | Secured Medical Transport (VAN) | 608 Burnt Mills Ave, Silver Spring, MD 20901-4506 | 2011-09-09 |
| 1144493297 | Reliable Trucking LLC | Secured Medical Transport (VAN) | 24 Joyceton Way, Upper Marlboro, MD 20774-1495 | 2008-04-09 |
| 1073681078 | Charity Transportation,inc | Secured Medical Transport (VAN) | 5811 Baltimore Ave Ste 204, Riverdale, MD 20737-1967 | 2006-11-30 |
| 1730710013 | New Line Investment LLC | Secured Medical Transport (VAN) | 9701 Apollo Dr Ste 330, Upper Marlboro, MD 20774-4795 | 2020-01-27 |
| 1841744240 | Anthony Parker | Secured Medical Transport (VAN) | 4068 Windsor Heights Pl, White Plains, MD 20695-3454 | 2016-08-15 |
| Find all providers with the same taxonomy | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.