CONCERTED CARE GROUP MANAGEMENT LLC (NPI# 1215466040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215466040 |
| Entity Type | Organization |
| Organization Name | CONCERTED CARE GROUP MANAGEMENT LLC |
| Other Organization Name | CCG MANAGEMENT, LLC |
| Practice Address |
459 E Preston St Baltimore MD 21202-3922 |
| Mailing Address |
428 E 25th St Baltimore MD 21218-5304 |
| Practice Telephone | 4106170142 |
| Practice Fax Number | 4438736975 |
| Mailing Telephone | 4106170142 |
| Mailing Fax Number | 4438736975 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-06-06 |
| Authorized Official Name | BARBARA WAHL (COO) |
| Authorized Official Telephone | 6672393205 |
| Authorized Official Credential | RN, MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 177F00000X | Lodging | Other Service Providers |
| Other Name | Type Code |
|---|---|
| CCG MANAGEMENT, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972033470 | Concerted Care Group Management LLC | Lodging | 416 E 26th St, Baltimore, MD 21218-4703 | 2017-06-16 |
| 1154851657 | Concerted Care Group Management LLC | Lodging | 1034 Brentwood Ave, Baltimore, MD 21202-4203 | 2017-06-16 |
| 1063942563 | Concerted Care Group Management LLC | Lodging | 420 E Lorraine Ave, Baltimore, MD 21218-4712 | 2017-06-16 |
| 1083143804 | Concerted Care Group Management LLC | Lodging | 2641 Barclay St, Baltimore, MD 21218-4711 | 2017-06-06 |
| 1790215200 | Concerted Care Group Management LLC | Lodging | 412 E 25th St, Baltimore, MD 21218-5304 | 2017-06-16 |
| Street Address |
459 E PRESTON ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972033470 | Concerted Care Group Management LLC | Lodging | 416 E 26th St, Baltimore, MD 21218-4703 | 2017-06-16 |
| 1154851657 | Concerted Care Group Management LLC | Lodging | 1034 Brentwood Ave, Baltimore, MD 21202-4203 | 2017-06-16 |
| 1063942563 | Concerted Care Group Management LLC | Lodging | 420 E Lorraine Ave, Baltimore, MD 21218-4712 | 2017-06-16 |
| 1083143804 | Concerted Care Group Management LLC | Lodging | 2641 Barclay St, Baltimore, MD 21218-4711 | 2017-06-06 |
| 1790215200 | Concerted Care Group Management LLC | Lodging | 412 E 25th St, Baltimore, MD 21218-5304 | 2017-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952873 | Homes4hope LLC | Lodging | 326 N Division St, Salisbury, MD 21801-4261 | 2020-08-10 |
| 1881172914 | Ladders To Leaders, Ltd | Lodging | 644 Frederick St, Hagerstown, MD 21740-6815 | 2018-07-31 |
| 1033374814 | Trinity Resources Group, Inc. | Lodging | 2470 Longstone Ln Ste G, Marriottsville, MD 21104-1512 | 2008-07-22 |
| 1093353252 | Recovery Source LLC | Lodging | 115 N Main St, North East, MD 21901-3502 | 2019-12-18 |
| 1801371224 | The Ranch, Inc | Lodging | 7902 Fingerboard Rd, Frederick, MD 21704-7629 | 2018-10-02 |
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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.