OPENHEAVEN HEALTHCARE LLC (NPI# 1598258006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598258006 |
| Entity Type | Organization |
| Organization Name | OPENHEAVEN HEALTHCARE LLC |
| Other Organization Name | OPENHEAVEN HEALTHCARE LLC |
| Practice Address |
11106 Glissade Dr Clinton MD 20735-1078 |
| Practice Telephone | 2402532632 |
| Practice Fax Number | 2403455732 |
| Mailing Telephone | 2402532632 |
| Mailing Fax Number | 2403455732 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Authorized Official Name | MR. ADEDOKUN I ADEKOYA (ADMINISTRATOR) |
| Authorized Official Telephone | 2406018037 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | R4091R | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | RESIDENTIAL SERVICE AGENCY LICENSE | R4091R | 01 |
| Other Name | Type Code |
|---|---|
| OPENHEAVEN HEALTHCARE LLC | Doing Business As Name - Organization |
| Street Address |
11106 GLISSADE DR |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| 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 |
|---|---|---|---|---|
| 1790383594 | Elite Caregivers Nursing Agency LLC | Home Health | 6821 Purple Lilac Ln, Clinton, MD 20735-4087 | 2020-10-14 |
| 1356950802 | Semicare Health Services, LLC | Home Health | 312 College St Ste E, Clinton, NC 28328-4000 | 2020-07-29 |
| 1619520780 | Balanced Life Home Care Services | Home Health | 65 Old Highway 22 Ste 4, Clinton, NJ 08809-1329 | 2019-07-18 |
| 1922666148 | Tracy Denise Parsons | Home Health | 1501 Highway 80 E Apt B7, Clinton, MS 39056-5361 | 2019-06-03 |
| 1568920312 | Redemption Home Health | Home Health | 15683 Pace Rd, Clinton, LA 70722-5232 | 2019-03-11 |
| 1598221970 | Belinda Denise Carter-williams | Home Health | 1241 Gateway Ave, Apt 5, Clinton, IA 52732-3546 | 2019-02-11 |
| 1801380035 | Bowes Iowa Inc | Home Health | 83 Main Ave, Clinton, IA 52732-2321 | 2018-06-20 |
| 1124564778 | Pamela Young | Home Health | 5321 W Boniwood Turn, Clinton, MD 20735-4160 | 2017-01-06 |
| 1780095893 | Sherrie Stamps | Home Health | 311 Clinton Blvd Ste A, Clinton, MS 39056-5251 | 2014-05-12 |
| 1750707840 | Sos Premiere | Home Health | 5900 Sellner Ln, Clinton, MD 20735-2214 | 2014-03-12 |
| Find all providers in CLINTON | ||||
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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.