MOHMOH HEALTHCARE SERVICES, LLC (NPI# 1619436805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619436805 |
| Entity Type | Organization |
| Organization Name | MOHMOH HEALTHCARE SERVICES, LLC |
| Practice Address |
5921 J St Fairmount Heights MD 20743-6527 |
| Practice Telephone | 2408829262 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | PHILOMENE EKOBENA (DIRECTOR) |
| Authorized Official Telephone | 2408829262 |
| 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 |
| Street Address |
5921 J ST |
| City | FAIRMOUNT HEIGHTS |
| State | MD |
| Zip Code | 20743-6527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902417967 | Orimashe Abdulsalam Jimoh | Physical Therapist | 1801 Richie Station Court, Suite 200, Capitol Heights, MD 20743 | 2020-08-13 |
| 1184249633 | Breona Chanel Washington | Driver | 6974 Walker Mill Rd Apt A1, Capitol Heights, MD 20743 | 2020-06-10 |
| 1568931905 | Adedeji Charles Olagunju | Driver | 415 70th Street, Capitol Heights, MD 20743 | 2018-11-15 |
| 1568967917 | Niaisa Harvey | Technician | 5811 Walker Mill Rd, District Heights, MD 20743 | 2018-03-28 |
| 1083118582 | S Valencia Tyrell | Prevention Professional | 920 Capitol Heights Blvd, Suite #b, Capitol Heights, MD 20743 | 2018-03-20 |
| 1760901854 | Detailing Minds, Inc. | Secured Medical Transport (VAN) | 513 Millwheel Street, Capitol Heights, MD 20743 | 2017-09-11 |
| 1255860334 | Cornelia Reeder | Home Health Aide | 1110 Dunbar Oaks Dr, Capitol Heights, MD 20743 | 2017-06-12 |
| 1164978912 | Family and Medical Counseling Service, Inc | Clinic/Center | 5936 Martin Luther King Jr Hwy, Capitol Heights, MD 20743 | 2016-08-31 |
| 1629447297 | Tiffany Welch | Case Manager/Care Coordinator | 5290 Marlboro Pike, Apt 101, Capitol Heights, MD 20743 | 2015-09-24 |
| 1659740348 | Adventures One, Inc. | Clinic/Center | 5400 Norfield Rd., Capitol Heights, MD 20743 | 2015-09-23 |
| Find all providers in zip 20743 | ||||
| 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 |
|---|---|---|---|---|
| 1518570605 | Bright Healthcare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9604 Byward Blvd, Bowie, MD 20721-1893 | 2020-08-28 |
| 1770108268 | Sowbah Healthcare Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 625 Sheridan St Apt 33, Hyattsville, MD 20783-3214 | 2020-06-10 |
| 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 | ||||
| City | FAIRMOUNT HEIGHTS |
| Zip Code | 20743 |
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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.