VESTED OPTIMIUM COMMUNITY SERVICES (NPI# 1336279793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336279793 |
| Entity Type | Organization |
| Organization Name | VESTED OPTIMIUM COMMUNITY SERVICES |
| Practice Address |
8775 M- Centre Park Drive # 515 Columbia MD 21045 |
| Practice Telephone | 4109133122 |
| Mailing Telephone | 4109133122 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-02-04 |
| Authorized Official Name | MS. STEPHANY STEVENS (CEO) |
| Authorized Official Telephone | 4109133122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
8775 M- CENTRE PARK DRIVE # 515 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861954661 | La Bella Vita, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9400 S Smith Hatchery Rd, Columbia, MO 65203-8965 | 2019-04-02 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1831432301 | Bredd Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5984 Grand Banks Rd, Columbia, MD 21044-2733 | 2013-04-02 |
| 1225324866 | Wetogether Missouri, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4702 Clark Ln, Apt. 201, Columbia, MO 65202-9920 | 2011-06-22 |
| 1629230677 | Scott Edward Williams | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 101 Dayspring Dr, Columbia, MO 65203-0285 | 2008-07-01 |
| 1326209990 | Brenda Dean Worstell | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2505 Barrys Bluff Ct, Columbia, MO 65203-7260 | 2008-06-17 |
| 1013136613 | Columbia Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Highway 850, Columbia, LA 71418-1559 | 2007-04-24 |
| 1407974389 | Cindy Christal | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3100 Mexico Gravel Rd, Columbia, MO 65202-2631 | 2007-03-27 |
| 1003933540 | His Meiner Miracles | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7770 E Mexico Gravel Rd, Columbia, MO 65202-8983 | 2007-03-22 |
| 1972642338 | Sandra Lee Anderson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5202 Schuyler Ct, Columbia, MO 65202-2973 | 2007-02-05 |
| Find all providers in COLUMBIA | ||||
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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.