CMDS RESIDENTIAL, LLC (NPI# 1104479401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104479401 |
| Entity Type | Organization |
| Organization Name | CMDS RESIDENTIAL, LLC |
| Practice Address |
6040 Harford Rd Baltimore MD 21214-1327 |
| Mailing Address |
5570 Sterrett Pl Ste 300 Columbia MD 21044-2678 |
| Practice Telephone | 4438644027 |
| Mailing Telephone | 4438644027 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | ANDRE PELEGRINI (DIR FINANCE) |
| Authorized Official Telephone | 4438644027 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798665 | Cmds Residential, LLC | Substance Abuse Rehabilitation Facility | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2020-04-01 |
| 1679102719 | Cmds Residential, LLC | Clinic/Center | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2020-04-01 |
| 1093348948 | Cmds Residential, LLC | Clinic/Center | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2020-02-19 |
| Street Address |
6040 HARFORD RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21214-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558318774 | Hamilton Center, LLC | Skilled Nursing Facility | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2006-05-31 |
| 1306475439 | Cmds Inc | Clinic/Center | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2020-04-01 |
| 1538798665 | Cmds Residential, LLC | Substance Abuse Rehabilitation Facility | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2020-04-01 |
| 1679102719 | Cmds Residential, LLC | Clinic/Center | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2020-04-01 |
| 1093348948 | Cmds Residential, LLC | Clinic/Center | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2020-02-19 |
| 1124665302 | Bilal Ali | Counselor | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2019-12-05 |
| 1699010835 | Carrie M Henderson | Occupational Therapist | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2012-11-28 |
| 1407100506 | Maria Catherine Relevo Natividad | Physical Therapist | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2012-10-29 |
| 1710275433 | Genesis Healthcare | Skilled Nursing Facility | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2011-07-15 |
| 1689971558 | 6040 Harford Road Operations LLC | Skilled Nursing Facility | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2011-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811544034 | Emani Williams | Behavior Technician | 4606 Walker Avenue, Baltimore, MD 21214 | 2019-08-22 |
| 1457831166 | Smith Podiatry & Associates LLC | Clinic/Center | 5610 Harford Rd Ste A, Baltimore, MD 21214 | 2018-08-21 |
| 1013435387 | Marcus Motton | Clinic/Center | 5629 Harford Road, Baltimore, MD 21214 | 2017-09-06 |
| 1528432143 | Beverly Jean Tellis | Social Worker | 6310 Harford Road, Baltimore, MD 21214 | 2015-11-19 |
| 1972848745 | Amy M Young | Occupational Therapist | 5908 Edna Ave, Baltimore, MD 21214 | 2012-12-05 |
| 1306112693 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 4700 Hartford Road, Baltimore, MD 21214 | 2012-03-30 |
| 1578731824 | Rebecca Michele Green | Speech-Language Pathologist | 5302 Plymouth Road, Baltimore, MD 21214 | 2008-02-20 |
| 1891975918 | Karen Schmidt | Occupational Therapist | 604 Hartford Rd., Baltimore, MD 21214 | 2007-11-06 |
| 1972790533 | Patricia Mary Marchetti Smith | Speech-Language Pathologist | 2709 Woodsdale Avenue, Baltimore, MD 21214 | 2007-09-27 |
| 1780896290 | Scott David Hubert | Dentist | 5810 Harford Rd, Baltimore, MD 21214 | 2007-05-04 |
| Find all providers in zip 21214 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| 1194973222 | Rem Ohio,inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 370 Bickel Church Road, Baltimore, OH 43105 | 2008-09-03 |
| 1588862627 | L.i.f.e. Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4805 Benson Avenue, Baltimore, MD 21227 | 2007-07-10 |
| 1275019580 | Issiaih House 1 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2802 Harford Rd, Baltimore, MD 21218-4953 | 2018-07-19 |
| 1427500404 | People Encouraging People | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4201 Primrose Ave, Baltimore, MD 21215-3305 | 2016-10-26 |
| 1740317593 | Community Support Services for The Deaf, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2603 N Rolling Rd, Suite 301, Baltimore, MD 21244-1975 | 2007-02-28 |
| 1255468633 | Community Support Services for The Deaf, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2603 N Rolling Rd, Suite 301, Baltimore, MD 21244-1975 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518570605 | Bright Healthcare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9604 Byward Blvd, Bowie, MD 20721-1893 | 2020-08-28 |
| 1770108268 | Sowbah Healthcare Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 625 Sheridan St Apt 33, Hyattsville, MD 20783-3214 | 2020-06-10 |
| 1558981548 | Gabby Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11811 Point Way, Bowie, MD 20720-3419 | 2020-04-20 |
| 1285253211 | Blessing Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12008 Maycheck Ln, Bowie, MD 20715-1551 | 2020-04-09 |
| 1225660970 | Steadfast Care Services,llc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5303 Kingsbrook Dr, Frederick, MD 21703-2806 | 2020-02-11 |
| 1144862186 | Surehealth Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2800 Klein Ct, Crofton, MD 21114-3118 | 2019-10-10 |
| 1568017358 | Beland Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12620 Hillmeade Station Dr, Bowie, MD 20720-3311 | 2019-08-07 |
| 1477108785 | Panatechs LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14115 Porringer Ct, Burtonsville, MD 20866-2062 | 2019-08-04 |
| 1619532140 | Arising Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12808 Penny Ln, Silver Spring, MD 20904-7111 | 2019-05-09 |
| 1619533155 | Blessed Assurance Healthcare | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9040 Stebbing Way Apt K, Laurel, MD 20723-5947 | 2019-05-09 |
| Find all providers with the same taxonomy | ||||
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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.