BLUE JELLYFISH LLC


Address: 11241 Skilift Ct Unit A, Columbia, MD 21044-3094
Phone: 4107331405

BLUE JELLYFISH LLC (NPI# 1255872834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255872834
Entity Type Organization
Organization Name BLUE JELLYFISH LLC
Practice Address 11241 Skilift Ct Unit A
Columbia
MD 21044-3094
Mailing Address 5525 Twin Knolls Rd Ste 325
Columbia
MD 21045-3203
Practice Telephone 4107331405
Mailing Telephone 4107331405
Enumeration Date 2017-03-15
Last Update Date 2017-03-17
Authorized Official Name MS. ANNE MOIRA HASTING (SPEECH-LANGUAGE PATHOLOGIST)
Authorized Official Telephone 4107331405
Authorized Official Credential M.S., CCC-SLP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0700X Clinic/Center
Specialization: Hearing and Speech
06143 MD Ambulatory Health Care Facilities

Office Location

Street Address 11241 SKILIFT CT UNIT A
City COLUMBIA
State MD
Zip Code 21044-3094

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Taxonomy Information

Taxonomy Code 261QH0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Hearing and Speech

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1841617404 The Hearing Hub, LLC Clinic/Center 634 N Main St, Columbia, IL 62236-1438 2014-03-20
1730406513 Total Rehab Services P.a. Clinic/Center 9600 Two Notch Rd, Suite #24-28, Columbia, SC 29223-4304 2010-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710519541 Hearing Center of Chestertown, LLC Clinic/Center 818 High St Ste 3, Chestertown, MD 21620-1152 2020-02-10
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1396275608 Advance Healthcare Therapies Clinic/Center 5020 Sunnyside Ave Ste 200, Beltsville, MD 20705-2307 2017-06-19
1730505363 Kennedy Krieger Institute Clinic/Center 1525 Light St, Baltimore, MD 21230-4516 2014-03-06
1154681856 Chesapeake Hearing Centers, Inc. Clinic/Center 8133 Elliott Rd, Easton, MD 21601-2945 2012-05-29
1033479738 Chesapeake Hearing Centers, Inc. Clinic/Center 11310 Manklin Creek Rd, Ocean Pines, MD 21811-4013 2012-05-29
1356636815 Speak Well Solutions, LLC Clinic/Center 41680 Miss Bessie Dr, Ste. 103, Leonardtown, MD 20650-3370 2011-06-13
1376864967 Clarity Audiology & Hearing Solutions, LLC Clinic/Center 3290 N Ridge Road Suite 125, Ellicott City, MD 21043-4173 2010-06-17
1407086689 Clearspeech Speech and Language Clinic/Center 10714 Baltimore Ave, Beltsville, MD 20705-2112 2009-07-22
1154449304 Alderman Speech Pathology Services, LLC Clinic/Center 825 Washington Blvd, Baltimore, MD 21230-2324 2007-03-27
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Competitor

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City COLUMBIA
Zip Code 21044

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Dataset Information

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.

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