PEACE & GLORY MANOR, LLC (NPI# 1023344066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023344066 |
| Entity Type | Organization |
| Organization Name | PEACE & GLORY MANOR, LLC |
| Practice Address |
3829 Kilburn Rd Randallstown MD 21133-4655 |
| Practice Telephone | 4109222617 |
| Practice Fax Number | 4109224620 |
| Mailing Telephone | 4109222617 |
| Mailing Fax Number | 4109224620 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |
| Authorized Official Name | MS. GLORIA LYNN BROWN - BRISTOL (FOUNDER COE/ EXCUTIVE OFFER) |
| Authorized Official Telephone | 4109222617 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
03AL1070-A | MD | Nursing Service Providers |
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
03AL1070-A | MD | Nursing Service Providers |
| N | 347B00000X | Bus | 03AL1070-A | MD | Transportation Services |
| N | 347C00000X | Private Vehicle | 03AL1070-A | MD | Transportation Services |
| N | 372600000X | Adult Companion | 03AL1070-A | MD | Nursing Service Related Providers |
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
03AL1070-A | MD | Nursing Service Related Providers |
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
03AL1070-A | MD | Nursing Service Related Providers |
| Y | 376K00000X | Nurse's Aide | 03AL1070-A | MD | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821324849 | Peace & Glory Manor, LLC | Counselor | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-10-27 |
| 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 |
| 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 |
| 1003149733 | Peace & Glory Manor, Inc | Clinical Medical Laboratory | 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 | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912816 | Magdaleine Angum Njong | Nurse's Aide | 620 Sheridan St Apt 410, Hyattsville, MD 20783-3207 | 2020-11-06 |
| 1861093056 | Melvin Santamaria | Nurse's Aide | 3804 Allison St, Brentwood, MD 20722-1111 | 2020-11-04 |
| 1649871849 | Dorian Geraldo Lopez | Nurse's Aide | 12644 Council Oak Dr, Waldorf, MD 20601-3585 | 2020-11-04 |
| 1720689953 | Basilia Dameida | Nurse's Aide | 2 Woodland Ct Apt 303, Laurel, MD 20707-4527 | 2020-11-04 |
| 1396346532 | Lindsey Daniela Villanueva | Nurse's Aide | 2400 Queens Chapel Rd Apt 8, Hyattsville, MD 20782-3631 | 2020-11-04 |
| 1356941108 | Hortence Makouoche | Nurse's Aide | 1801 Greenwich Wood Dr Apt 11, Silver Spring, MD 20903-2104 | 2020-10-30 |
| 1538769443 | Marie Anne Ngo Nyeck | Nurse's Aide | 1836 Metzerott Rd Apt T7, Adelphi, MD 20783-3441 | 2020-10-29 |
| 1437759792 | Pauline Anne Taku | Nurse's Aide | 200 Fort Meade Rd Apt 708, Laurel, MD 20707-4428 | 2020-10-27 |
| 1811597016 | Simisola Mustapha | Nurse's Aide | 4213 Oglethorpe St Apt 101, Hyattsville, MD 20781-1540 | 2020-10-27 |
| 1558961094 | Paschalia Nehlum Atang Epse Chi | Nurse's Aide | 3817 64th Ave Apt 203, Hyattsville, MD 20784-1858 | 2020-10-26 |
| 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.