TEMAH HEALTHCARE SERVICES, LLC (NPI# 1457970675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457970675 |
| Entity Type | Organization |
| Organization Name | TEMAH HEALTHCARE SERVICES, LLC |
| Practice Address |
5310 Old Court Rd Ste 304 Randallstown MD 21133-6202 |
| Mailing Address |
4320 Brookside Oaks Owings Mills MD 21117-5169 |
| Practice Telephone | 4105218000 |
| Practice Fax Number | 4106555826 |
| Mailing Telephone | 4105218000 |
| Mailing Fax Number | 4106555826 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | TEMITOPE S WILLIAMS (PSYCHIATRIC MENTAL HEALTH NURSE PRA) |
| Authorized Official Telephone | 4105218000 |
| Authorized Official Credential | CRNP, PMH-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 651406500 | 05 |
| Other Name | Type Code |
|---|---|
| TEMAH FAMILY PRACTICE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932523008 | Temah Healthcare Services, LLC | Community/Behavioral Health | 5310 Old Court Rd Ste 303, Randallstown, MD 21133-6202 | 2014-02-10 |
| 1497384705 | Temah Healthcare Services, LLC | Psychologist | 5310 Old Court Rd Ste 304, Randallstown, MD 21133-6202 | 2020-04-07 |
| 1942841838 | Temah Healthcare Services, LLC | Community/Behavioral Health | 5310 Old Court Rd Ste 303, Randallstown, MD 21133-6202 | 2019-10-02 |
| 1790334167 | Temah Healthcare Services, LLC | Clinic/Center | 5310 Old Court Rd Ste 303, Randallstown, MD 21133-6202 | 2019-09-09 |
| Street Address |
5310 OLD COURT RD STE 304 |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1497384705 | Temah Healthcare Services, LLC | Psychologist | 5310 Old Court Rd Ste 304, Randallstown, MD 21133-6202 | 2020-04-07 |
| 1316426562 | Organizational Pathways, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133-6202 | 2018-08-08 |
| 1932693611 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| 1215321179 | Rita N Agugoesi | Social Worker | 4114 Brown Bark Circle, Randallstown, MD 21133 | 2015-03-27 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851320147 | Chase Brexton Health Services, Inc. | Clinic/Center | 3510 Brenbrook Dr, Randallstown, MD 21133-4902 | 2006-07-01 |
| 1487253134 | Bryson Healthcare Services, Inc. | Clinic/Center | 5310 Old Court Rd Ste 205, Randallstown, MD 21133-6201 | 2020-10-23 |
| 1003429739 | Away of Change Counseling Service, LLC | Clinic/Center | 5310 Old Court Rd Ste 105, Randallstown, MD 21133-5281 | 2020-08-24 |
| 1720690878 | Away of Change Counseling Service, LLC | Clinic/Center | 5310 Old Court Rd Ste 105, Randallstown, MD 21133-5281 | 2020-08-19 |
| 1790334167 | Temah Healthcare Services, LLC | Clinic/Center | 5310 Old Court Rd Ste 303, Randallstown, MD 21133-6202 | 2019-09-09 |
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| 1508472226 | Resilient Psychiatry, LLC | Clinic/Center | 744 Dulaney Valley Rd Ste 7, Towson, MD 21204-5132 | 2020-09-17 |
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| Find all providers with the same taxonomy | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
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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.