CSAAC, INC. (NPI# 1225137912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225137912 |
| Entity Type | Organization |
| Organization Name | CSAAC, INC. |
| Practice Address |
8615 E Village Ave Montgomery Village MD 20886-4316 |
| Practice Telephone | 2409122220 |
| Practice Fax Number | 3019269384 |
| Mailing Telephone | 2409122220 |
| Mailing Fax Number | 3019269384 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PETER OWEN DONAGHY (CFO) |
| Authorized Official Telephone | 2409122361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MD | Residential Treatment Facilities |
| Street Address |
8615 E VILLAGE AVE |
| City | MONTGOMERY VILLAGE |
| State | MD |
| Zip Code | 20886-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962055970 | Jacqueline Ayoub-monteiro | Behavior Technician | 8615 E Village Ave, Montgomery Village, MD 20886-4316 | 2019-07-18 |
| 1659924686 | Stacey Shober | Behavior Technician | 8615 E Village Ave, Montgomery Village, MD 20886-4316 | 2019-07-18 |
| 1477106409 | Trung Cao | Behavior Technician | 8615 E Village Ave, Montgomery Village, MD 20886-4316 | 2019-07-18 |
| 1417500448 | Ashley Jung | Behavior Technician | 8615 E Village Ave, Montgomery Village, MD 20886-4316 | 2019-07-18 |
| 1033762067 | Amira Yanni | Behavior Technician | 8615 E Village Ave, Montgomery Village, MD 20886-4316 | 2019-07-18 |
| 1588217517 | Long Nguyen | Behavior Technician | 8615 E Village Ave, Montgomery Village, MD 20886-4316 | 2019-07-18 |
| 1124671144 | Rebecca Proctor | Behavior Technician | 8615 E Village Ave, Montgomery Village, MD 20886-4316 | 2019-07-18 |
| 1255984274 | Julie Gunther | Behavior Technician | 8615 E Village Ave, Montgomery Village, MD 20886-4316 | 2019-07-18 |
| 1982257903 | Ivanna Antezana | Behavior Technician | 8615 E Village Ave, Montgomery Village, MD 20886-4316 | 2019-07-18 |
| 1861045874 | Oneida Villatoro | Behavior Technician | 8615 E Village Ave, Montgomery Village, MD 20886-4316 | 2019-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730684986 | Monica Susan Perretta | Dietitian, Registered | 8615 East Village Ave., Montgomery Village, MD 20886 | 2018-03-29 |
| 1942604640 | Maria Uy | Pharmacist | 9846 Maple Leaf Dr, Montgomery Village, MD 20886 | 2014-10-09 |
| 1699015354 | Larissa Kern Reynolds | Psychologist | 8615 East Village Avenue, Montgomery Village, MD 20886 | 2013-02-18 |
| 1518221613 | Iya-wase Winifred Besinga | Home Health Aide | 9658 Brassieway Montgomery Village, Montgomery, MD 20886 | 2012-07-03 |
| 1265758858 | Nina Vann Jeanes M.d., P.C. | Obstetrics & Gynecology | 19221 Montgomery Village Avenue, C-20, Montgomery County, MD 20886 | 2010-04-08 |
| 1275773012 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 8109 Wisconsin Ave, Bethesda, MD 20886 | 2009-03-05 |
| 1184876757 | Russell Lee Fritts | Chiropractor | 18538 Office Park Dr., Montgomery Village, MD 20886 | 2008-10-15 |
| 1558536102 | James M Ryan | Counselor | 19630 Club House Rd Ste 715, Montgomery Village, MD 20886 | 2008-04-24 |
| 1558487413 | Montgomery Village Dental Ctr | Dentist | 18544 Office Park Drive, Gaithersburg, MD 20886 | 2007-03-22 |
| 1437226784 | Robbie S Moyer | Pediatrics | 18506 Office Park Drive, Montgomery Vlg, MD 20886 | 2006-11-30 |
| Find all providers in zip 20886 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659978 | Your Choices Support Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8480 Baltimore National Pike # 141, Ellicott City, MD 21043-3369 | 2020-11-02 |
| 1225638786 | Alternative Dda Home Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Reisterstown Rd Ste 180, Baltimore, MD 21208-1313 | 2020-10-26 |
| 1487251195 | Shore Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8221 Teal Dr Ste 422, Easton, MD 21601-7212 | 2020-10-06 |
| 1750909875 | Richcroft Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11350 Mccormick Rd Ste 700, Hunt Valley, MD 21031-1002 | 2020-07-07 |
| 1710501648 | Together We Stand Support Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3702 Evergreen Ave, Baltimore, MD 21206-3420 | 2020-06-06 |
| 1447870985 | Palmer's Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3410 Gateshead Manor Way Apt 201, Silver Spring, MD 20904-6114 | 2020-04-24 |
| 1477185338 | A.w. Holdings of Maryland, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 808 Klees Mill Rd, Westminster, MD 21157-8230 | 2020-02-10 |
| 1851930382 | Daylight Healthcare Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3812 Pikeswood Dr, Randallstown, MD 21133-2710 | 2020-01-01 |
| 1205479763 | Oasis Plus Social Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4446 Regalwood Ter, Burtonsville, MD 20866-2227 | 2019-10-28 |
| 1003459777 | Walter Obi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4201 Brookside Oaks, Owings Mills, MD 21117-5168 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY VILLAGE |
| Zip Code | 20886 |
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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.