LS CREATIVE AGENCY LLC (NPI# 1013515154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013515154 |
Entity Type | Organization |
Organization Name | LS CREATIVE AGENCY LLC |
Practice Address |
1153 Route 3 North, Suite 10 Gambrills MD 21054 |
Mailing Address |
2610 Smooth Alder St N Apt 362 Gambrills MD 21054-1372 |
Practice Telephone | 2022276264 |
Mailing Telephone | 2022276264 |
Enumeration Date | 2020-10-12 |
Last Update Date | 2020-10-12 |
Authorized Official Name | TIFFANY BULLOCK (OWNER) |
Authorized Official Telephone | 2022276264 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Other Name | Type Code |
---|---|
Love & Serenity | Doing Business As Name - Organization |
Street Address |
1153 ROUTE 3 NORTH, SUITE 10 |
City | GAMBRILLS |
State | MD |
Zip Code | 21054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447925 | Maksim Simakhodskiy | Massage Therapist | 1328 Waugh Chapel Way, Gambrills, MD 21054 | 2020-11-02 |
1710510540 | Mijeong Joo-bunyard | Physical Therapist | 1153 Md-3n, Suite 35, Gambrills, MD 21054 | 2020-02-20 |
1144873043 | Sadia Cheema | Nurse Practitioner | 1071 Md-3 North, Suite 101, Gambrills, MD 21054 | 2019-07-19 |
1235699620 | Sara Fiore Schwartz | Nurse Practitioner | 1071 Md-3 Suite 101, Gambrills, MD 21054 | 2019-03-21 |
1447759246 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 2401 Brandermill Boulevard Suite 350, Gambrills, MD 21054 | 2018-02-07 |
1821546391 | Aamg Physical Therapy, LLC | Speech-Language Pathologist | 1153 Route 3 N, Suite 35, Gambrills, MD 21054 | 2016-09-14 |
1780039818 | Drs Ergent Care, LLC | Clinic/Center | 1071 Route 3 N, Gambrills, MD 21054 | 2016-04-26 |
1871851212 | Sarsha Blackman | Dentist | 1166 Route 3 South, Suite 211, Gambrills, MD 21054 | 2012-04-23 |
1134485535 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1402 S. Main Chapel Way, Suite 114, Gambrills, MD 21054 | 2012-04-10 |
1902038557 | Dr. Olga Baczara | Dentist | 2401 Brandermill Blvd., Ste. 140, Gambrills, MD 21054 | 2009-08-17 |
Find all providers in zip 21054 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174146153 | Rehabilitation and Wellness Associates | Prosthetic/Orthotic Supplier | 3333 N Calvert St Ste 585, Baltimore, MD 21218-6514 | 2020-05-25 |
1134755218 | Dope Beauty Bar | Prosthetic/Orthotic Supplier | 1459 Light St Ste 1, Baltimore, MD 21230-4549 | 2020-03-20 |
1306470687 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4600 Wilkens Ave Ste 105, Baltimore, MD 21229-4843 | 2020-02-26 |
1740823913 | Select Physical Therapy Holdings, Inc. | Prosthetic/Orthotic Supplier | 1305 S Salisbury Blvd Ste 5, Salisbury, MD 21801-6845 | 2019-10-21 |
1225697303 | Tonya Tennelle Briggs | Prosthetic/Orthotic Supplier | 5853 York Rd, Baltimore, MD 21212-3613 | 2019-06-11 |
1851861389 | Pink Couture Hair | Prosthetic/Orthotic Supplier | 4316 Hamilton St, Hyattsville, MD 20781-1938 | 2018-11-27 |
1174004535 | Crystal Angela White | Prosthetic/Orthotic Supplier | 11006 Spring Forest Way, Fort Washington, MD 20744-4877 | 2018-08-23 |
1205338860 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10750 Columbia Pike Ste 100, Silver Spring, MD 20901-4402 | 2018-02-28 |
1114426624 | Inarbi Enterprise Inc | Prosthetic/Orthotic Supplier | 739 W Pratt St Ste C, Baltimore, MD 21201-1167 | 2018-02-09 |
1609389725 | Emerge Empowerment Movement | Prosthetic/Orthotic Supplier | 872 Largo Center Dr, Largo, MD 20774-3705 | 2017-11-10 |
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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.