AFFILIATED SANTE GROUP (NPI# 1205165545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205165545 |
| Entity Type | Organization |
| Organization Name | AFFILIATED SANTE GROUP |
| Practice Address |
4355 Nicole Dr Lanham MD 20706-4349 |
| Mailing Address |
12200 Tech Rd Ste 330 Silver Spring MD 20904-1913 |
| Practice Telephone | 3014292171 |
| Practice Fax Number | 3014292180 |
| Mailing Telephone | 3015726585 |
| Mailing Fax Number | 3015725062 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | STEVEN SAHM (BILLING MANAGER) |
| Authorized Official Telephone | 3015726585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | MD | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487983102 | Affiliated Sante Group | Community/Behavioral Health | 4355 Nicole Dr, Lanham, MD 20706-4349 | 2009-12-08 |
| 1083720569 | Affiliated Sante Group | Clinic/Center | 1400 Spring St Ste 100, Silver Spring, MD 20910-2751 | 2006-08-21 |
| 1588045959 | Affiliated Sante Group | Counselor | 7610 Pennsylvania Ave, Suite 203, Forestville, MD 20747-4701 | 2015-06-11 |
| 1013348267 | Affiliated Sante Group | Psychologist | 4355 Nicole Dr, Lanham, MD 20706-4349 | 2013-12-12 |
| 1538427208 | Affiliated Sante Group | Counselor | 43 Community Pl, Crownsville, MD 21032-2034 | 2012-05-01 |
| 1962716852 | Affiliated Sante Group | Health Maintenance Organization | 43 Community Pl, Crownsville, MD 21032-2034 | 2010-08-03 |
| 1780998096 | Affiliated Sante Group | Health Maintenance Organization | 43 Community Pl, Crownsville, MD 21032-2034 | 2010-07-28 |
| 1316262595 | Affiliated Sante Group | Health Maintenance Organization | 1205 York Rd, Suite 29, Timonium, MD 21093-6210 | 2010-03-31 |
| 1528383700 | Affiliated Sante Group | Health Maintenance Organization | 43 Community Pl, Crownsville, MD 21032-2034 | 2010-03-31 |
| 1043485089 | Affiliated Sante Group | Counselor | 1400 Spring St Ste 100, Silver Spring, MD 20910-2751 | 2008-04-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AFFILIATED SANTE GROUP | 12200 Tech Rd. Suite 330, Silver Spring, MD 20904-1913 |
| Street Address |
4355 NICOLE DR |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487983102 | Affiliated Sante Group | Community/Behavioral Health | 4355 Nicole Dr, Lanham, MD 20706-4349 | 2009-12-08 |
| 1013348267 | Affiliated Sante Group | Psychologist | 4355 Nicole Dr, Lanham, MD 20706-4349 | 2013-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720584642 | Impact Support Services, Inc. | Day Training, Developmentally Disabled Services | 4500 Forbes Blvd Ste 200-e, Lanham, MD 20706-6312 | 2018-03-30 |
| 1962910067 | Sunrise Community of Maryland, Inc. | Day Training, Developmentally Disabled Services | 4801 Forbes Blvd, Lanham, MD 20706-4303 | 2018-01-11 |
| 1568918274 | Fortune Home Health, LLC | Day Training, Developmentally Disabled Services | 6300 Heston Terrace, Suite A, Lanham, MD 20706-3075 | 2016-09-01 |
| 1922342914 | Kbm Health Care Agency | Day Training, Developmentally Disabled Services | 9400 Buena Vista Ave, Lanham, MD 20706-6736 | 2012-11-15 |
| 1164966834 | Renoxx Caregivers, Inc. | Day Training, Developmentally Disabled Services | 9500 Annapolis Rd, Lanham, MD 20706-2060 | 2016-12-14 |
| 1427351121 | Sykesville Woods Inc | Day Training, Developmentally Disabled Services | 9320 Annapolis Rd, Suite 320, Lanham, MD 20706-3100 | 2010-12-18 |
| 1942472238 | Angel Loving Care 1 Inc | Day Training, Developmentally Disabled Services | 9831 Greenbelt Rd, Suite 103, Lanham, MD 20706-2202 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1053926352 | Reunion Supports Services, Inc. | Day Training, Developmentally Disabled Services | 6527 Britannic Pl, Frederick, MD 21703-2751 | 2020-09-13 |
| 1184233280 | Ariela Sustainable Community Services, Inc. | Day Training, Developmentally Disabled Services | 20502 Quiet Valley Ct, Hagerstown, MD 21742-3184 | 2020-07-24 |
| 1942818653 | Fortune Health Care Services Inc | Day Training, Developmentally Disabled Services | 5903 Queen Anne St, Gwynn Oak, MD 21207-3918 | 2020-07-20 |
| 1356971436 | Comfort Sisi Healthcare Inc | Day Training, Developmentally Disabled Services | 8609 34th Ave, College Park, MD 20740-4409 | 2020-01-17 |
| 1114568961 | Golden Care of Washington Inc | Day Training, Developmentally Disabled Services | 6405 Grendel Pl, Bowie, MD 20720-5308 | 2019-10-02 |
| 1679120885 | Salvation Life Inc | Day Training, Developmentally Disabled Services | 10714 Marriottsville Rd, Randallstown, MD 21133-1312 | 2019-08-22 |
| 1861045239 | Supporting Services Integration, LLC | Day Training, Developmentally Disabled Services | 7167 Mill Run Dr, Derwood, MD 20855-1208 | 2019-07-24 |
| 1841850534 | Compassion Care Inc. | Day Training, Developmentally Disabled Services | 8 Hallsdale Ct, Rosedale, MD 21237-5009 | 2019-06-16 |
| 1447813407 | Therapetic Wellness Services Corp | Day Training, Developmentally Disabled Services | 6801 Belair Rd Apt Suite, Baltimore, MD 21206-1121 | 2019-04-16 |
| 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.