GRACE LINE NURSING LLC (NPI# 1184129298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184129298 |
| Entity Type | Organization |
| Organization Name | GRACE LINE NURSING LLC |
| Other Organization Name | GLNURSING |
| Practice Address |
15445 Depot Ln Upper Marlboro MD 20772-3157 |
| Practice Telephone | 2405448093 |
| Mailing Telephone | 2405448093 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |
| Authorized Official Name | OMOBOLANLE F BABAFEMI (PROGRAM MANAGER) |
| Authorized Official Telephone | 2405448093 |
| Authorized Official Credential | LLB |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | NRSA140028 | MD | Agencies |
| Other Name | Type Code |
|---|---|
| GLNursing | Doing Business As Name - Organization |
| Street Address |
15445 DEPOT LN |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20772-3157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355077 | Doris Lynn Perkins | Pharmacist | 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 | 2020-10-31 |
| 1730790221 | Creative Mind Therapy | Community/Behavioral Health | 12419 Dorsey Ln, Upper Marlboro, MD 20772 | 2020-08-10 |
| 1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
| 1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
| 1932668134 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-03-18 |
| 1033673918 | Shonte Renee Drakeford | Nurse Practitioner | 6610 Woodyard Road, Upper Marlboro, MD 20772 | 2019-01-25 |
| 1902391261 | Myenne Hanson | Home Health Aide | 5002 Ashford Dr, Upper Marlboro, MD 20772 | 2018-06-28 |
| 1659884849 | Clement Okehie | Home Health Aide | 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 | 2017-11-09 |
| 1497264766 | Fatu Barrie | Technician | 11112 Cranfod Drive, Upper Marlboro, MD 20772 | 2017-09-29 |
| 1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
| Find all providers in zip 20772 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811487382 | Renaissance Healthcare, LLC | Nursing Care | 1302 Eddington Dr, Upper Marlboro, MD 20774-1942 | 2018-05-10 |
| 1841702065 | Sunshine Health Staffing LLC | Nursing Care | 4504 Lord Loudoun Ct, Upper Marlboro, MD 20772-5946 | 2017-10-27 |
| 1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
| 1518345610 | Cls Nursing Services | Nursing Care | 6531 Dower House Rd, Upper Marlboro, MD 20772-3802 | 2015-05-11 |
| 1235543034 | Supreme Healthcare Services, LLC | Nursing Care | 7608 Georgian Dr, Upper Marlboro, MD 20772-4496 | 2014-06-19 |
| 1073954368 | Ugo Oluchi Azuewah | Nursing Care | 951 Dunloring Ct, Upper Marlboro, MD 20774-5780 | 2013-07-15 |
| 1336585553 | 1st Choice Home Health Services | Nursing Care | 1414 Canadien Geese Ct, Upper Marlboro, MD 20774-7062 | 2013-05-14 |
| 1487946117 | Cornerstone Care Nursing Services Agency | Nursing Care | 11504 Clematis Ct, Upper Marlboro, MD 20774-9307 | 2011-05-13 |
| 1366673394 | Sunny Nursing Care Services | Nursing Care | 11301 Kettering Ter, Upper Marlboro, MD 20774-1567 | 2009-08-07 |
| 1003063074 | Vision Healthcare Inc | Nursing Care | 410 Ashaway Ln, Upper Marlboro, MD 20774-8778 | 2008-08-21 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20772 |
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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.