YOUR SUPPORT SERVICE (NPI# 1457866022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457866022 |
| Entity Type | Organization |
| Organization Name | YOUR SUPPORT SERVICE |
| Practice Address |
6309 Baltimore Ave Ste 201 Riverdale MD 20737-1059 |
| Practice Telephone | 3012097233 |
| Mailing Telephone | 3012097233 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | CAROLYN SIMMS (CEO) |
| Authorized Official Telephone | 3012097233 |
| Authorized Official Credential | LGPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790290377 | Your Support Service | Community/Behavioral Health | 6309 Baltimore Ave Ste 201, Riverdale, MD 20737-1059 | 2017-12-05 |
| 1457864472 | Your Support Service | Case Management | 6309 Baltimore Ave, Riverdale, MD 20737-1059 | 2017-11-13 |
| Street Address |
6309 BALTIMORE AVE STE 201 |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790290377 | Your Support Service | Community/Behavioral Health | 6309 Baltimore Ave Ste 201, Riverdale, MD 20737-1059 | 2017-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1083238885 | Stanley A Mbakwa | Home Health Aide | 5702 Singnate Ln., Riverdale, MD 20737 | 2020-06-08 |
| 1033694542 | Millicent Conteh | Home Health Aide | 6833 Riverdale Road Apt 201c, Riverdale, MD 20737 | 2018-10-01 |
| 1831675388 | Violet Horsfall Osai | Home Health Aide | 5519 Nicholson Street, 202, Riverdale, MD 20737 | 2018-07-18 |
| 1801329867 | Zainab Bangura | Home Health Aide | 6831 Riverdale Road, C201, Riverdale, MD 20737 | 2017-04-06 |
| 1770035768 | Sheila Acheampong | Occupational Therapy Assistant | 4409 East West Hway, Riverdale, MD 20737 | 2016-10-26 |
| 1346614070 | Onyemauwa Mowjoodi | Licensed Vocational Nurse | 6823b Riverdale Rd # B2, Riverdale, MD 20737 | 2015-11-18 |
| 1841677531 | Andre Demetrius Brown Jr. | Home Health Aide | 4706 Oliver Street, Riverdale, MD 20737 | 2015-05-01 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1487054870 | Kilimot Emiola | Home Health Aide | 6139 64th Ave., Apt 3, Riverdale, MD 20737 | 2014-09-04 |
| Find all providers in zip 20737 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770722563 | Global Care Centers, Inc | Case Management | 136 Highway 138 Sw, Riverdale, GA 30274-4008 | 2009-02-18 |
| 1346497195 | New Jerusalem Homeless Ministries | Case Management | 67 Rockport Dr, Riverdale, GA 30274-6706 | 2008-08-23 |
| 1457864472 | Your Support Service | Case Management | 6309 Baltimore Ave, Riverdale, MD 20737-1059 | 2017-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081939 | Heavenly Helpers Home Health Services | Case Management | 11548 Lady Alison Ct, Waldorf, MD 20601-4630 | 2020-10-20 |
| 1699380154 | Potomac Case Management Services, Inc. | Case Management | 29 Baltimore St, Cumberland, MD 21502-3024 | 2020-09-11 |
| 1821613373 | Keys Development Ta | Case Management | 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 | 2020-06-10 |
| 1821613530 | Renaye James Healthcare Advisors, LLC | Case Management | 12028 Open Run Rd, Ellicott City, MD 21042-6101 | 2020-06-09 |
| 1902420680 | Infostructures, Inc. | Case Management | 1390 Piccard Dr Ste 330, Rockville, MD 20850-6540 | 2020-05-29 |
| 1235752064 | Recovery Coalition of Maryland | Case Management | 2900 Hammonds Ferry Rd, Halethorpe, MD 21227-3142 | 2020-05-27 |
| 1922628783 | Rehabilitation Center for Humanity LLC | Case Management | 4200 Edmondson Ave Ste 103, Baltimore, MD 21229-1600 | 2020-04-22 |
| 1073149183 | Inner County Outreach, Inc. | Case Management | 529 Edmund St, Aberdeen, MD 21001-3429 | 2020-03-20 |
| 1376177170 | Center for Community Services | Case Management | 8041 White Jasmine Ct, Ellicott City, MD 21043-4984 | 2020-03-02 |
| 1811521404 | Center for Children, Inc. | Case Management | 4550 Forbes Blvd Ste 350, Lanham, MD 20706-4394 | 2020-02-24 |
| 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.