OPEN DOOR OUTREACH CENTER (NPI# 1487293940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487293940 |
| Entity Type | Organization |
| Organization Name | OPEN DOOR OUTREACH CENTER |
| Practice Address |
13604 Old Annapolis Road Bowie MD 20720 |
| Practice Telephone | 2024174880 |
| Mailing Telephone | 2024174880 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | WILDINE BURGESS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2403502863 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174200000X | Meals | Other Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 251B00000X | Case Management | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OPEN DOOR OUTREACH CENTER, INC. | 7170 Cooley Lake Rd, Waterford, MI 48327-4113 |
| Street Address |
13604 OLD ANNAPOLIS ROAD |
| City | BOWIE |
| State | MD |
| Zip Code | 20720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447714316 | Sandra Williams | Durable Medical Equipment & Medical Supplies | 6413, Gwinnett Lane, Bowie, MD 20720 | 2019-01-24 |
| 1952896458 | Carolyn Simms | Counselor | 10111 Martin Luther King Hwy, Suite 103, Bowie, MD 20720 | 2018-06-27 |
| 1538652227 | Fabienne Bonaventure | Counselor | 13014 5th St, Bowie, MD 20720 | 2018-06-07 |
| 1225544356 | Clear Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 12420f Fairwood Parkway, Suite 103, Bowie, MD 20720 | 2017-12-27 |
| 1083132419 | Abibatu Kamara | Behavioral Analyst | 4806 Silverbrook Way, Bowie, MD 20720 | 2017-09-06 |
| 1427576040 | Valor Health, Inc. | Art Therapist | 11310 Sperry Stream Way, Bowie, MD 20720 | 2017-09-04 |
| 1164944682 | Healing and Helping Practice | Psychologist | 14331 Old Stage Rd., Bowie, MD 20720 | 2017-07-17 |
| 1043749468 | Ccc Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4205 Hatties Progress Drive, Bowie, MD 20720 | 2017-06-08 |
| 1265969802 | Harry Thomas Washington Jr. | Counselor | 10111 Martin Luther King Jr. Highway, Suite 200, Bowie, MD 20720 | 2017-05-14 |
| 1801320395 | Hisc Wellness 360 | Case Management | 14001 Tollison Drive, Bowie, MD 20720 | 2017-04-12 |
| Find all providers in zip 20720 | ||||
| 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 |
|---|---|---|---|---|
| 1902366453 | Desired Social Services, LLC | Case Management | 13206 Idlewild Dr, Bowie, MD 20715-1406 | 2019-03-21 |
| 1992219299 | Kaygee40, Incorporation | Case Management | 6911 Laurel Bowie Rd Ste 303, Bowie, MD 20715-1712 | 2017-11-22 |
| 1801320395 | Hisc Wellness 360 | Case Management | 14001 Tollison Drive, Bowie, MD 20720 | 2017-04-12 |
| 1679018758 | Capitol Discovery Services, Inc. | Case Management | 8202 Climbing Fern Ct, Bowie, MD 20715-4571 | 2016-12-29 |
| 1710332028 | Michele Morrissey | Case Management | 3911 Elmcrest Ln, Bowie, MD 20716-7354 | 2016-04-25 |
| 1922475656 | Trinity Nursing Management | Case Management | 12217 Kings Arrow St, Bowie, MD 20721-1943 | 2015-08-28 |
| 1396175949 | Firmin Djontu | Case Management | 1423 Kings Manor Dr, Bowie, MD 20721-2003 | 2013-11-18 |
| 1720602006 | Dynamic Community Services, LLC | Case Management | 1509 Baytree Ter, Bowie, MD 20721-2384 | 2020-06-03 |
| 1508370891 | Kaygee40, Incorporation | Case Management | 6911 Laurel Bowie Rd Ste 303, Bowie, MD 20715-1712 | 2017-11-22 |
| 1841730967 | P & E Compassionate Care, LLC | Case Management | 4512 Doctor Beans Legacy Cir, Bowie, MD 20720-6384 | 2017-03-08 |
| Find all providers in BOWIE | ||||
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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.