WATERMARK HEALTH SERVICES LLC (NPI# 1508245564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508245564 |
| Entity Type | Organization |
| Organization Name | WATERMARK HEALTH SERVICES LLC |
| Practice Address |
11511 Ridgedale Dr White Marsh MD 21162-1146 |
| Practice Telephone | 4102301840 |
| Mailing Telephone | 4102301840 |
| Enumeration Date | 2015-05-23 |
| Last Update Date | 2015-05-23 |
| Authorized Official Name | MR. BABAJIDE JOHNSON ADEDIPE (ADMINISTRATOR) |
| Authorized Official Telephone | 4102627321 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | R3747 | MD | Agencies |
| Street Address |
11511 RIDGEDALE DR |
| City | WHITE MARSH |
| State | MD |
| Zip Code | 21162-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250191 | Michael Nwandu Dnp, Pmhnp-bc, LLC | Clinic/Center | 5702 Country Farm Road, White Marsh, MD 21162 | 2020-06-17 |
| 1104168590 | Justin Ryan Brooks | General Practice | 11500 Lipscomb Way, White Marsh, MD 21162 | 2013-03-23 |
| 1841410974 | Glenn Paul Miller | Dentist | 11550 Philadelphia Road Suite #118, Whitemarsh, MD 21162 | 2007-04-30 |
| 1063722700 | White Marsh Healthcare Physical Medicine LLC | Chiropractor | 5430 Campbell Blvd., Ste. 106, White Marsh, MD 21162 | 2010-10-15 |
| 1295881597 | Sandra Shih | Dentist | 5430 Campbell Blvd, Suite 209, White Marsh, MD 21162 | 2007-01-27 |
| 1487769915 | Lorraine Ofori-awuah Md Pa | Clinic/Center | 5430 Campbell Blvd, Ste 214, White Marsh, MD 21162 | 2006-08-21 |
| 1275164139 | Maria Lourdes Evangelista | Nurse Practitioner | 5728 Fieldcrest Dr, White Marsh, MD 21162-1143 | 2020-01-30 |
| 1730669771 | Marilyn C Hernandez | Nurse Practitioner | 5700 Fieldcrest Dr, White Marsh, MD 21162-1143 | 2018-08-20 |
| 1639635584 | Rebecca Dawn Rock | Social Worker | 5717 Fieldcrest Dr, White Marsh, MD 21162-1144 | 2019-02-15 |
| 1275845521 | Martha Angela Montemar | Physical Therapist | 5606 Crescent Ridge Dr, White Marsh, MD 21162-1149 | 2010-07-01 |
| Find all providers in zip 21162 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952925836 | Allstar Care Agency, LLC | Home Health | 11586 Autumn Terrace Dr, White Marsh, MD 21162-1151 | 2020-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356232 | Compassionate Hearts Health Care, LLC | Home Health | 12806 Glasgow Ct, Fort Washington, MD 20744-7034 | 2020-11-06 |
| 1396345302 | Jfm Optima Care, LLC | Home Health | 14653 Argos Pl, Upper Marlboro, MD 20774-8612 | 2020-10-28 |
| 1245839877 | Adaptive Life and Wellness LLC | Home Health | 14204 Marlborough Dr, Upper Marlboro, MD 20772-2813 | 2020-10-24 |
| 1598364036 | Strong Tower Home Health Services, LLC | Home Health | 24218 Arena Stage Ct, Damascus, MD 20872-2189 | 2020-10-24 |
| 1225637176 | Hoping Heart Home Healthcare | Home Health | 7967 Pipers Path, Glen Burnie, MD 21061-6239 | 2020-10-21 |
| 1548869696 | Albeniz Care Agency, LLC | Home Health | 2002 Tuscarora Valley Ct, Frederick, MD 21702-7900 | 2020-10-20 |
| 1548868300 | Universal Home Assistance LLC | Home Health | 6215 64th Ave Apt 4, Riverdale, MD 20737-2943 | 2020-10-14 |
| 1790383594 | Elite Caregivers Nursing Agency LLC | Home Health | 6821 Purple Lilac Ln, Clinton, MD 20735-4087 | 2020-10-14 |
| 1376141267 | Goshen Health Care Services LLC | Home Health | 15305 Beaufort Pl, Silver Spring, MD 20905-4203 | 2020-10-13 |
| 1083212153 | Dependable Care | Home Health | 1114 Muskogee Ln, Lusby, MD 20657-3529 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | WHITE MARSH |
| Zip Code | 21162 |
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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.