MONTE NIDO MARYLAND, LLC (NPI# 1649744327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649744327 |
Entity Type | Organization |
Organization Name | MONTE NIDO MARYLAND, LLC |
Practice Address |
3100 Roxbury Mills Rd Glenwood MD 21738-9702 |
Mailing Address |
6100 Sw 76th St South Miami FL 33143-5002 |
Practice Telephone | 3056631876 |
Practice Fax Number | 9144795490 |
Mailing Telephone | 3056631876 |
Mailing Fax Number | 9144795490 |
Enumeration Date | 2019-01-16 |
Last Update Date | 2019-01-16 |
Authorized Official Name | MR. PAUL REED (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 3056631876 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
Street Address |
3100 ROXBURY MILLS RD |
City | GLENWOOD |
State | MD |
Zip Code | 21738-9702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053881615 | Kristi Joy Nester | Speech-Language Pathologist | 1460 Carrs Mill Road, Glenwood, MD 21738 | 2018-11-27 |
1598134728 | Hillary J Scott | Speech-Language Pathologist | 3750 A Shady Lane, Glenwood, MD 21738 | 2015-09-17 |
1962653188 | East Coast Anesthesia Inc. | Clinic/Center | 3231 Huntersworth Way, Glenwood, MD 21738 | 2008-10-07 |
1073723672 | Paul Gittings Ensor | Contractor | 14630 Burntwoods Rd, Glenwood, MD 21738-0130 | 2007-05-23 |
1366588428 | George Ho | Emergency Medicine | 3614 Broadleaf Ct, Glenwood, MD 21738-9330 | 2007-01-29 |
1003291493 | Edward Pecukonis | Social Worker | 3244 Danmark Dr, Glenwood, MD 21738-9415 | 2015-07-27 |
1306004411 | Amy F. Potler | Occupational Therapist | 3638 Sharp Rd, Glenwood, MD 21738-9505 | 2008-05-26 |
1972849107 | John Wesley Wisor | Psychologist | 3307 Saddle Horse Ct, Glenwood, MD 21738-9526 | 2012-12-16 |
1396272928 | Min S Kwon | Pharmacist | 14347 Musgrove Farm Ct, Glenwood, MD 21738-9535 | 2017-05-13 |
1326419953 | Megan Crenshaw | Speech-Language Pathologist | 3750a Shady Ln, Glenwood, MD 21738-9539 | 2015-10-08 |
Find all providers in zip 21738 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891939153 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 601 E Glenwood Lansing Rd, Glenwood, IL 60425-1978 | 2009-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356942361 | Psychotherapeutic Treatment Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1300 Ritchie Hwy Ste D-e, Arnold, MD 21012-2244 | 2020-11-05 |
1649882606 | Brooke Brody Licensed Clinical Social Worker, PC | Community Based Residential Treatment Facility, Mental Illness | 15720 Seneca Rd, Germantown, MD 20874-3542 | 2020-08-20 |
1568073815 | Peaceful Minds Residential Services | Community Based Residential Treatment Facility, Mental Illness | 2733 Ashland Ave, Baltimore, MD 21205-1734 | 2020-08-11 |
1821636226 | Mission House Inc | Community Based Residential Treatment Facility, Mental Illness | 204 Brown St, Chestertown, MD 21620-1402 | 2019-12-16 |
1548807423 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy Ste 505, Waldorf, MD 20601-2819 | 2019-12-10 |
1477190353 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 41900 Fenwick St Ste 5, Leonardtown, MD 20650-3815 | 2019-12-10 |
1407404429 | Ministering Angels LLC | Community Based Residential Treatment Facility, Mental Illness | 4605 Horizon Cir Apt 101, Pikesville, MD 21208-2395 | 2019-09-03 |
1891257598 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 8640 Ridge Rd, Ellicott City, MD 21043-4102 | 2019-04-02 |
1851853568 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 1431 W Patrick St, Frederick, MD 21702-9061 | 2019-04-02 |
1134692320 | Passionate Hands Transitional Housing | Community Based Residential Treatment Facility, Mental Illness | 3507 W Rogers Ave, Baltimore, MD 21215-4742 | 2019-01-10 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MONTE NIDO MARYLAND, LLC.
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.