MEEKEN DIVERSIFIED MANAGEMENT (NPI# 1467710814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467710814 |
| Entity Type | Organization |
| Organization Name | MEEKEN DIVERSIFIED MANAGEMENT |
| Practice Address |
4849 Lydell Rd Hyattsville MD 20781-1116 |
| Mailing Address |
6803 Edgemere Dr Camp Springs MD 20748-3939 |
| Practice Telephone | 3014492045 |
| Mailing Telephone | 2404132245 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Authorized Official Name | MR. HORACE WALLACE KENNER SR. (CHIEF OPERATION OFFICER) |
| Authorized Official Telephone | 2404132245 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
4849 LYDELL RD |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20781-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306338439 | Afi N Keto | Home Health Aide | 5705 43rd Ave Apt 2, Hyattsville, MD 20781 | 2018-06-04 |
| 1760899637 | Brigid Prosser | Registered Nurse | 5804 Baltimore Ave., Hyattsville, MD 20781 | 2014-07-12 |
| 1689918807 | Flora P Krimi-johnson | Home Health Aide | 5247 Kenilworth Av Apt 304, Hyattsville, MD 20781 | 2012-11-15 |
| 1235493305 | Elohor Ogbotor | Home Health Aide | 6527 Landover Rd, 201, Cheverly, MD 20781 | 2012-07-03 |
| 1013145887 | Fisseha Yitbarek Ghidey | Internal Medicine | 4509 Garfield St, Hyattsville, MD 20781 | 2009-06-30 |
| 1053504068 | Marie Surasky | Dentist | 5310 Kenilworth Ave, Hyattsville, MD 20781 | 2007-08-22 |
| 1144258278 | Wendy C Norris | Specialist/Technologist | Dematha High School, 4313 Madison St., Hyattsville, MD 20781 | 2006-06-29 |
| 1669712220 | Melvin Scott | Nurse Practitioner | 5804 Baltimore Ave, Hyattsville, MD 20781 | 2013-02-19 |
| 1396003729 | Bethesda Medical Equipment& Supplies | Durable Medical Equipment & Medical Supplies | 5728 Tuxedo Rd, Hyattsville, MD 20781-1316 | 2012-04-23 |
| 1952913766 | Kcs In Home Care LLC | Home Health Aide | 6105 43rd Ave, Hyattsville, MD 20781-1405 | 2020-08-21 |
| Find all providers in zip 20781 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205255072 | Karib Services Inc. | Assisted Living Facility | 3708 Warner Ave, Hyattsville, MD 20784-2449 | 2014-04-09 |
| 1720167919 | Goshen Services Group, LLC | Assisted Living Facility | 6525 Belcrest Rd, Suite 519, Hyattsville, MD 20782-2003 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486032 | Comfort At Home Care, LLC | Assisted Living Facility | 4628 Marble Hall Rd, Baltimore, MD 21239-3937 | 2020-10-27 |
| 1073113338 | Casa Living Inc | Assisted Living Facility | 13809 Doctor Edelen Dr, Accokeek, MD 20607-3786 | 2020-10-27 |
| 1528667011 | Affluent Living Adult Care | Assisted Living Facility | 4106 Maine Ave, Gwynn Oak, MD 21207-7503 | 2020-10-26 |
| 1134728678 | First-class Caregivers, LLC | Assisted Living Facility | 7214 Willow Hill Dr, Capitol Heights, MD 20743-2671 | 2020-10-24 |
| 1356940761 | Angel Living, LLC | Assisted Living Facility | 3978 Old Washington Rd, Waldorf, MD 20602-3217 | 2020-10-19 |
| 1740896182 | M&o Prestige Partnership LLC | Assisted Living Facility | 1805 Ashburton St, Baltimore, MD 21216-3538 | 2020-09-21 |
| 1497360986 | Merle Newkirk | Assisted Living Facility | 7606 Fox Hunt Ct, Clinton, MD 20735-3063 | 2020-09-10 |
| 1881209690 | Serenity Gardens Assisted Living LLC | Assisted Living Facility | 10829 Burbank Dr, Potomac, MD 20854-1557 | 2020-09-09 |
| 1700491560 | Evergreen Gardens Assisted Living | Assisted Living Facility | 10120 Stansfield Rd, Laurel, MD 20723-1738 | 2020-09-09 |
| 1124632211 | Citadel Management Group Inc. | Assisted Living Facility | 5360 Woodgate Ln, Waldorf, MD 20601-4457 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | HYATTSVILLE |
| Zip Code | 20781 |
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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.