FIRST SOURCE CAREGIVERS LLC (NPI# 1275098246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275098246 |
| Entity Type | Organization |
| Organization Name | FIRST SOURCE CAREGIVERS LLC |
| Practice Address |
1998 Yorkshire Ln Waldorf MD 20603-3882 |
| Practice Telephone | 2404641982 |
| Mailing Telephone | 2404641982 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | VICTORIA STEWART (ADMINISTRATOR) |
| Authorized Official Telephone | 2404641982 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | HOME HEALTH | 251E00000X | 01 |
| Street Address |
1998 YORKSHIRE LN |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-3882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871849 | Dorian Geraldo Lopez | Nurse's Aide | 12644 Council Oak Dr, Waldorf, MD 20601-3585 | 2020-11-04 |
| 1629409511 | Kelly Alston | Nurse's Aide | 11870 Oak Manor Dr, Waldorf, MD 20601-8638 | 2013-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912816 | Magdaleine Angum Njong | Nurse's Aide | 620 Sheridan St Apt 410, Hyattsville, MD 20783-3207 | 2020-11-06 |
| 1861093056 | Melvin Santamaria | Nurse's Aide | 3804 Allison St, Brentwood, MD 20722-1111 | 2020-11-04 |
| 1720689953 | Basilia Dameida | Nurse's Aide | 2 Woodland Ct Apt 303, Laurel, MD 20707-4527 | 2020-11-04 |
| 1396346532 | Lindsey Daniela Villanueva | Nurse's Aide | 2400 Queens Chapel Rd Apt 8, Hyattsville, MD 20782-3631 | 2020-11-04 |
| 1356941108 | Hortence Makouoche | Nurse's Aide | 1801 Greenwich Wood Dr Apt 11, Silver Spring, MD 20903-2104 | 2020-10-30 |
| 1538769443 | Marie Anne Ngo Nyeck | Nurse's Aide | 1836 Metzerott Rd Apt T7, Adelphi, MD 20783-3441 | 2020-10-29 |
| 1437759792 | Pauline Anne Taku | Nurse's Aide | 200 Fort Meade Rd Apt 708, Laurel, MD 20707-4428 | 2020-10-27 |
| 1811597016 | Simisola Mustapha | Nurse's Aide | 4213 Oglethorpe St Apt 101, Hyattsville, MD 20781-1540 | 2020-10-27 |
| 1558961094 | Paschalia Nehlum Atang Epse Chi | Nurse's Aide | 3817 64th Ave Apt 203, Hyattsville, MD 20784-1858 | 2020-10-26 |
| 1912506841 | Augustina Nwanonenyi | Nurse's Aide | 3103 Barcroft Dr, Upper Marlboro, MD 20774-7501 | 2020-10-21 |
| 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.