ACT IV


Address: 10951 Poplar Ridge Road, Brandywine, MD 20613
Phone: 3015792482

ACT IV (NPI# 1023132230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023132230
Entity Type Organization
Organization Name ACT IV
Other Organization Name COMMUNITY SERVICES AGENCY
Practice Address 10951 Poplar Ridge Road
Brandywine
MD 20613
Mailing Address 19051 Poplar Ridge Rd
Brandywine
MD 20613-3910
Practice Telephone 3015792482
Mailing Telephone 3015792482
Enumeration Date 2007-03-16
Last Update Date 2008-06-16
Authorized Official Name MR. TYRONE FIZER (VOCATIONAL SPECIALIST)
Authorized Official Telephone 2026457256
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251B00000X Case Management F206809018964 MD Agencies

Other Provider/Organization Names

Other Name Type Code
Community Services Agency Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316061856 Act Iv Case Management 10005 Lawrence Pond Ct, Laurel, MD 20708-3049 2007-03-19
1265556385 Act Iv Case Management 1901 R St Se, Washington, DC 20020-4622 2007-03-16
1790809978 Act Iv Case Management 252 Oakwood St Se, Washington, DC 20032-1721 2007-03-16
1245354315 Act Iv Case Management 3849 Alabama Avenue S.e., Washington, DC 20010 2007-03-16

Other Data Sources

Entity Type Entity Name Entity Address
Vermont Business Registrations ACT IV CABARET Weston Playhouse, Weston, VT 05161
Massachusetts Corporations ACT IV CONSULTING, INC. 12 Centervale Park, Dorchester, MA 02124
New York State Corporations ACT IV HAIR DESIGN, LLC 29 Old Tappan Road, Tappan, Ny 10983
New York State Corporations ACT IV PRODUCTIONS, INC. 528 Herkimer St, Brooklyn, Ny 11213
Colorado Business Entities ACT IV Properties LLC 12229 E Amherst Cir, Aurora, CO 80014

Office Location

Street Address 10951 POPLAR RIDGE ROAD
City BRANDYWINE
State MD
Zip Code 20613

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689176018 Joseph Delonte Snider Social Worker 15912 Crain Hwy Ste B174, Brandywine, MD 20613 2018-03-01
1881104065 Ally Infusion, LLC Clinic/Center 7651 Matapeake Bus Dr Ste 103, Brandywine, MD 20613 2017-10-02
1619418001 Delante Mckinnon Home Health Aide 13306 Craine Hwy, Brandywine, MD 20613 2017-03-17
1346604295 Physician Imaging of Washington Hospital Center, LLC Radiology 13950 Bradywine Road, Brandywine, MD 20613 2016-04-07
1053779116 Medstar Surgery Center At Brandywine, LLC Clinic/Center 13950 Brandywine Road, Suite 100, Brandywine, MD 20613 2016-02-04
1649654948 Innersense Behavioral Health, Inc. Counselor 13508 Stoney Creek Lane, Brandywine, MD 20613 2015-07-16
1043588817 Neibauer Dental Care, PC Dentist 7651 Matapeake Business Drive Suite 106, Brandywine, MD 20613 2011-12-08
1376829804 Danielle Lasure-bryant Counselor 11600 Cedarville Road, Brandywine, MD 20613 2011-10-28
1164664405 Adenike Olayinka Gbenle Dentist 7450 Clymer Dr, Brandywine, MD 20613 2009-04-01
1841466919 Communit Support System 'css LLC'. Home Health 6307 Brechib Dr, Brandywine, MD 20613 2008-05-07
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Taxonomy Information

Taxonomy Code 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760081939 Heavenly Helpers Home Health Services Case Management 11548 Lady Alison Ct, Waldorf, MD 20601-4630 2020-10-20
1699380154 Potomac Case Management Services, Inc. Case Management 29 Baltimore St, Cumberland, MD 21502-3024 2020-09-11
1821613373 Keys Development Ta Case Management 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 2020-06-10
1821613530 Renaye James Healthcare Advisors, LLC Case Management 12028 Open Run Rd, Ellicott City, MD 21042-6101 2020-06-09
1902420680 Infostructures, Inc. Case Management 1390 Piccard Dr Ste 330, Rockville, MD 20850-6540 2020-05-29
1235752064 Recovery Coalition of Maryland Case Management 2900 Hammonds Ferry Rd, Halethorpe, MD 21227-3142 2020-05-27
1922628783 Rehabilitation Center for Humanity LLC Case Management 4200 Edmondson Ave Ste 103, Baltimore, MD 21229-1600 2020-04-22
1073149183 Inner County Outreach, Inc. Case Management 529 Edmund St, Aberdeen, MD 21001-3429 2020-03-20
1376177170 Center for Community Services Case Management 8041 White Jasmine Ct, Ellicott City, MD 21043-4984 2020-03-02
1811521404 Center for Children, Inc. Case Management 4550 Forbes Blvd Ste 350, Lanham, MD 20706-4394 2020-02-24
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Competitor

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City BRANDYWINE
Zip Code 20613

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Dataset Information

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.

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