MAPLE SHADE YOUTH & FAMILY SERVICES, INC. (NPI# 1093045304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093045304 |
| Entity Type | Organization |
| Organization Name | MAPLE SHADE YOUTH & FAMILY SERVICES, INC. |
| Practice Address |
11760 Somerset Ave Princess Anne MD 21853-1239 |
| Practice Telephone | 4106215177 |
| Practice Fax Number | 4106215051 |
| Mailing Telephone | 4106215177 |
| Mailing Fax Number | 4106215051 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | DR. NIRU JANI (CEO) |
| Authorized Official Telephone | 4107427400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11793 Somerset Ave, Princess Anne, MD 218531240 | 4102022753 |
| Street Address |
11760 SOMERSET AVE |
| City | PRINCESS ANNE |
| State | MD |
| Zip Code | 21853-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326376302 | Maple Shade Youth and Family Services, Inc. | Community/Behavioral Health | 11760 Somerset Ave, Princess Anne, MD 21853-1239 | 2009-12-02 |
| 1417590274 | Destinee Paris Geoghegan | Counselor | 11760 Somerset Ave, Princess Anne, MD 21853-1239 | 2019-10-24 |
| 1306339940 | David Michael Albert | Social Worker | 11760 Somerset Ave, Princess Anne, MD 21853-1239 | 2018-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478013 | Zachary Castell | Counselor | 30665 Student Services Center Lane, Princess Anne, MD 21853 | 2019-10-14 |
| 1659798759 | Brittany Leigh Heffernan | Dentist | 12165 Elm Street, Princess Anne, MD 21853 | 2014-03-26 |
| 1750670519 | Earl Gene Grantz | Pharmacist | 1251 Brittingham Lane, Rite Aid Pharmacy, Princess Anne, MD 21853 | 2011-04-01 |
| 1356554018 | Somerset County Health Department | Public Health or Welfare | 11674 Somerset Avenue, Princess Anne, MD 21853 | 2007-05-08 |
| 1801008479 | Cedric Rashaw | Counselor | 1 Umes Backbone Road, Princess Anne, MD 21853 | 2007-05-04 |
| 1053408641 | Nancy V Lorsong | Nurse Practitioner | Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 | 2006-10-06 |
| 1154354744 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2006-07-08 |
| 1750855797 | Rebecca Coryell | Physician Assistant | 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 | 2019-01-13 |
| 1205331840 | Kristen Lea Hyland | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-03-26 |
| 1386145118 | Karishma Dilip Patel | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-02-27 |
| Find all providers in zip 21853 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942539259 | Maple Shade Youth and Family Services, Inc. | Case Management | 11793 Somerset Ave, Princess Anne, MD 21853-1240 | 2009-12-15 |
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| Find all providers with the same taxonomy | ||||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
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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.