GENERATION 5 HEALTHCARE, INC. (NPI# 1588163562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588163562 |
| Entity Type | Organization |
| Organization Name | GENERATION 5 HEALTHCARE, INC. |
| Practice Address |
707 Belgian Ave. Baltimore MD 21218 |
| Mailing Address |
P.o. Box 43 White Marsh MD 21162 |
| Practice Telephone | 4438240966 |
| Mailing Telephone | 4438240966 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MRS. NICOLE TYSON-FERGUSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4438240966 |
| Authorized Official Credential | BSN, RN, CM/DN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1635 Westwood Ave., Baltimore, MD 21217 | 4438240966 |
| Street Address |
707 BELGIAN AVE. |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1518472331 | Shawnae Lowery | Social Worker | 1900 N. Howard St, Baltimore, MD 21218 | 2017-12-04 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194973222 | Rem Ohio,inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 370 Bickel Church Road, Baltimore, OH 43105 | 2008-09-03 |
| 1588862627 | L.i.f.e. Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4805 Benson Avenue, Baltimore, MD 21227 | 2007-07-10 |
| 1104479401 | Cmds Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2019-07-17 |
| 1275019580 | Issiaih House 1 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2802 Harford Rd, Baltimore, MD 21218-4953 | 2018-07-19 |
| 1427500404 | People Encouraging People | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4201 Primrose Ave, Baltimore, MD 21215-3305 | 2016-10-26 |
| 1740317593 | Community Support Services for The Deaf, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2603 N Rolling Rd, Suite 301, Baltimore, MD 21244-1975 | 2007-02-28 |
| 1255468633 | Community Support Services for The Deaf, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2603 N Rolling Rd, Suite 301, Baltimore, MD 21244-1975 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518570605 | Bright Healthcare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9604 Byward Blvd, Bowie, MD 20721-1893 | 2020-08-28 |
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| 1558981548 | Gabby Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11811 Point Way, Bowie, MD 20720-3419 | 2020-04-20 |
| 1285253211 | Blessing Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12008 Maycheck Ln, Bowie, MD 20715-1551 | 2020-04-09 |
| 1225660970 | Steadfast Care Services,llc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5303 Kingsbrook Dr, Frederick, MD 21703-2806 | 2020-02-11 |
| 1144862186 | Surehealth Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2800 Klein Ct, Crofton, MD 21114-3118 | 2019-10-10 |
| 1568017358 | Beland Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12620 Hillmeade Station Dr, Bowie, MD 20720-3311 | 2019-08-07 |
| 1477108785 | Panatechs LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14115 Porringer Ct, Burtonsville, MD 20866-2062 | 2019-08-04 |
| 1619532140 | Arising Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12808 Penny Ln, Silver Spring, MD 20904-7111 | 2019-05-09 |
| 1619533155 | Blessed Assurance Healthcare | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9040 Stebbing Way Apt K, Laurel, MD 20723-5947 | 2019-05-09 |
| 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.