GRACE RESIDENTIAL SERVICES, LLC (NPI# 1033675897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033675897 |
| Entity Type | Organization |
| Organization Name | GRACE RESIDENTIAL SERVICES, LLC |
| Practice Address |
4117 Brookside Oaks Road Owings Mills MD 21117 |
| Practice Telephone | 4436777130 |
| Mailing Telephone | 4436777130 |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |
| Authorized Official Name | MRS. OMOLARA O ADEOLA (CEO) |
| Authorized Official Telephone | 4436777130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 122456 | 05 |
| Street Address |
4117 BROOKSIDE OAKS ROAD |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| 1275913568 | Lois Geraldine Newkirk | Public Health or Welfare | 205 Incheape Circle, Apt 2d, Owings Mills, MD 21117 | 2015-06-02 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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| 1821620881 | Absolutecare Inc | Clinic/Center | 7515 Annapolis Rd Ste 409, Hyattsville, MD 20784-1752 | 2020-02-07 |
| 1689204653 | Empowering Life Group LLP | Clinic/Center | 10410 Kensington Pkwy Ste 103, Kensington, MD 20895-2944 | 2020-01-18 |
| 1376194324 | Living Water Support Services | Clinic/Center | 4300 Forbes Blvd Ste 130, Lanham, MD 20706-4375 | 2019-09-21 |
| 1609437631 | Assistic Care Services Inc. | Clinic/Center | 10117 Tulip Tree Dr, Bowie, MD 20721-3715 | 2019-06-20 |
| 1841854650 | Silver Lining Residential of Maryland | Clinic/Center | 3944 Red Deer Cir, Randallstown, MD 21133-2047 | 2019-04-26 |
| 1376005413 | Millenium Care, Inc | Clinic/Center | 806 Reisterstown Rd Ste 3, Pikesville, MD 21208-4214 | 2019-04-05 |
| 1528569183 | Ark of Rehabilitation Inc | Clinic/Center | 3450 Laurel Fort Meade Rd Ste 212, Laurel, MD 20724-2040 | 2018-02-27 |
| 1700061314 | Lifeline, Inc | Clinic/Center | 5632 Annapolis Rd Ste 9, Bladensburg, MD 20710-2213 | 2008-01-02 |
| Find all providers with the same taxonomy | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
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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.