FREEDOM AMBULANCE (NPI# 1295011674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295011674 |
Entity Type | Organization |
Organization Name | FREEDOM AMBULANCE |
Practice Address |
5512 Bortner Rd Upperco MD 21155-9763 |
Practice Telephone | 4435364077 |
Enumeration Date | 2011-10-28 |
Last Update Date | 2011-10-28 |
Authorized Official Name | MR. EDWARD SENKBEIL (CEO) |
Authorized Official Telephone | 4435364077 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
Street Address |
5512 BORTNER RD |
City | UPPERCO |
State | MD |
Zip Code | 21155-9763 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841663457 | Safe Harbor Christian Counseling | Psychologist | 14450 Hanover Pike, Reisterstown, MD 21155 | 2015-11-04 |
1659886166 | Aba Solutions, LLC | Behavioral Analyst | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2017-12-06 |
1841807807 | Jalynn Danielle Haver | Behavior Technician | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2020-09-24 |
1366077489 | Arthur William Plummer | Behavior Technician | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2020-03-09 |
1215574173 | Katrice Sade Crowner | Behavioral Analyst | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2019-12-10 |
1093360117 | Natalie Laine Stiles | Behavior Technician | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2019-08-06 |
1093368094 | Jasmine Hall | Behavior Technician | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2019-07-18 |
1346726684 | Nicole Branham | Behavior Technician | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2018-07-18 |
1548751472 | Amanda R Tincknell | Behavioral Analyst | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2018-05-26 |
1174081343 | Winston Frederick Harden | Specialist/Technologist | 16301 Dark Hollow Rd, Upperco, MD 21155-9358 | 2019-03-06 |
Find all providers in zip 21155 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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.