SENIOR SMART, LLC (NPI# 1659655413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659655413 |
| Entity Type | Organization |
| Organization Name | SENIOR SMART, LLC |
| Practice Address |
1430 Progress Way Ste 105 Eldersburg MD 21784-6461 |
| Practice Telephone | 4102596622 |
| Practice Fax Number | 4439731012 |
| Mailing Telephone | 4102596622 |
| Mailing Fax Number | 4439731012 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DANIEL MACK (PRESIDENT) |
| Authorized Official Telephone | 4102596622 |
| Authorized Official Credential | OTR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2340 Southfield Ct, Finksburg, MD 210482256 | 4102596622 | 4105262332 |
| Street Address |
1430 PROGRESS WAY STE 105 |
| City | ELDERSBURG |
| State | MD |
| Zip Code | 21784-6461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033681085 | Kathleen Busching | Occupational Therapy Assistant | Intergrace Fairhaven, 7200 Third Ave, Sykesville, MD 21784 | 2018-12-31 |
| 1619450376 | Mackenzie Fleming | Counselor | 6220 Georgetown Blvd Suite C, Eldersburg, MD 21784 | 2018-09-10 |
| 1316426919 | Rebecca Rubin | Nurse Practitioner | 1380 Progress Way, Suite 102, Eldersburg, MD 21784 | 2018-08-14 |
| 1417473273 | Andrey Doroshenko | Dentist | 1722 Underwood Road, Sykesville, MD 21784 | 2017-08-14 |
| 1992229694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 Georgetown Blvd, Eldersburg, MD 21784 | 2017-08-03 |
| 1457894495 | Bethany Six | Nurse Practitioner | 6190 Gerogetown Blvd, Eldersburg, MD 21784 | 2016-11-23 |
| 1982011821 | Fast Track Urgent Care, LLC | Clinic/Center | 1315 Breton Drive, Eldersburg, MD 21784 | 2014-07-11 |
| 1588097984 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 5961 Exchange Dr, Suite 100, Eldersburg, MD 21784 | 2013-08-21 |
| 1356690986 | Kayla Nicole Koster | Speech-Language Pathologist | 1702 Liberty Road, First Floor, Sykesville, MD 21784 | 2012-08-29 |
| 1558645663 | Fusion Dental | Dentist | 5959 Exchange Drive, Suite 116, Eldersburg, MD 21784 | 2011-10-07 |
| Find all providers in zip 21784 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215421532 | Lifebridge Sports Medicine and Rehabilitation LLC | Durable Medical Equipment & Medical Supplies | 1393 Progress Way Ste 907, Eldersburg, MD 21784-6473 | 2018-06-20 |
| 1992229694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 Georgetown Blvd, Eldersburg, MD 21784 | 2017-08-03 |
| 1659568525 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1260 Liberty Rd, Eldersburg, MD 21784-7928 | 2007-09-25 |
| 1447456181 | Chesapeake Urology Associates P.a. | Durable Medical Equipment & Medical Supplies | 6109 Georgetown Blvd, Eldersburg, MD 21784 | 2007-06-21 |
| 1093824468 | Rite Aid of Maryland Inc | Durable Medical Equipment & Medical Supplies | 6300 Georgetown Boulevard 107, Freedom Village Shopping Center, Eldersburg, MD 21784-6481 | 2006-08-30 |
| 1780613703 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 1313 Londontown Blvd, Eldersburg, MD 21784-6409 | 2006-07-02 |
| 1831700202 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 1313 Londontown Blvd, Eldersburg, MD 21784-6409 | 2020-08-11 |
| 1225233315 | Chesapeake Urology Associates P.a. | Durable Medical Equipment & Medical Supplies | 1645 Liberty Rd, Eldersburg, MD 21784-6521 | 2007-06-19 |
| 1952349748 | Choice Medical Supply Company | Durable Medical Equipment & Medical Supplies | 1311 Londontown Blvd, Suite 130, Eldersburg, MD 21784-6454 | 2006-06-03 |
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| 1316546021 | Medibuy Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 12826 Forest Creek Ct, Sykesville, MD 21784-5526 | 2020-10-22 |
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| 1013515154 | Ls Creative Agency LLC | Durable Medical Equipment & Medical Supplies | 1153 Route 3 North, Suite 10, Gambrills, MD 21054 | 2020-10-12 |
| 1487261202 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4601 Presidents Dr Ste 320, Lanham, MD 20706-4833 | 2020-09-25 |
| 1588278469 | Js Medical | Durable Medical Equipment & Medical Supplies | 3304 Mount Airy Ct, Davidsonville, MD 21035-2209 | 2020-09-08 |
| 1083228373 | Js Products, LLC | Durable Medical Equipment & Medical Supplies | 11118 Reynolds Rd, Kingsville, MD 21087-1939 | 2020-09-03 |
| 1356953319 | Med-care Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1406b Crain Hwy S Ste 205, Glen Burnie, MD 21061-4336 | 2020-08-20 |
| 1467063537 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 1800 Rockville Pike Ste S, Rockville, MD 20852-1604 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | ELDERSBURG |
| Zip Code | 21784 |
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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.