CHARLES COUNTY FREEDOM LANDING, INC. (NPI# 1740332451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740332451 |
| Entity Type | Organization |
| Organization Name | CHARLES COUNTY FREEDOM LANDING, INC. |
| Practice Address |
400 Potomac Street La Plata MD 20646-0939 |
| Mailing Address |
Po Box 939 400 Potomac Street La Plata MD 20646-0939 |
| Practice Telephone | 3019322737 |
| Practice Fax Number | 3019322803 |
| Mailing Telephone | 3019322737 |
| Mailing Fax Number | 3019322803 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2017-02-01 |
| Authorized Official Name | MRS. JOYCE ABRAMSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3019322737 |
| Authorized Official Credential | R.N.M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 588981200 | 05 |
| Street Address |
400 POTOMAC STREET |
| City | LA PLATA |
| State | MD |
| Zip Code | 20646-0939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1902387988 | Sheldon Villarta | Physical Therapist | 10200 La Plata Town, La Plata, MD 20646 | 2018-08-27 |
| 1912485244 | Kelli Hill Goldsborough | Nurse Practitioner | 5 N La Plata Ct Ste 101, La Plata, MD 20646 | 2018-07-30 |
| 1083128490 | Charles County Rescue Squad Inc | Ambulance | 2 Calvert St, La Plata, MD 20646 | 2017-11-21 |
| 1801261532 | Catherine Deshetler | Social Worker | 5 N Maple Ave Ste 206, La Plata, MD 20646 | 2015-12-07 |
| 1215346481 | Brittany Godin | Speech-Language Pathologist | 5 Garrett Avenue, La Plata, MD 20646 | 2014-08-12 |
| 1558787606 | Homeplace Assisted Living | Assisted Living Facility | 10210 La Plata Rd, La Plata, MD 20646 | 2014-03-13 |
| 1891056628 | Godfrey T Hewitt | Dentist | 6620 Crain Hwy #204, Laplata, MD 20646 | 2012-06-07 |
| 1740573823 | Armida Bondoc Gonzales | Physical Therapist | 15 S Maple Ave, Apt 2, La Plata, MD 20646 | 2011-05-23 |
| 1023315348 | Charity E Dugan | Surgery | Um Charles Regional Medical Group, 5 North La Plata Court Ste 103, La Plata, MP 20646 | 2011-02-23 |
| Find all providers in zip 20646 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902455090 | Love To Care LLC | Community/Behavioral Health | 118 La Grange Ave Ste B, La Plata, MD 20646-9591 | 2019-09-10 |
| 1396072278 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 200 Kent Ave, Ste B, La Plata, MD 20646-3753 | 2009-11-12 |
| 1932579919 | Institute for Family Centered Services | Community/Behavioral Health | 200 Kent Ave, Suite 100, La Plata, MD 20646-3753 | 2015-10-02 |
| 1013309673 | Center for Children Inc | Community/Behavioral Health | 6100 Radio Station Road, La Plata, MD 20646 | 2015-02-19 |
| 1184989162 | Institute for Family Centered Sevices, Inc | Community/Behavioral Health | 200 Kent Ave, Suite 101, La Plata, MD 20646-3753 | 2012-07-06 |
| 1548493927 | Center for Children, Inc | Community/Behavioral Health | 6100 Radio Station Road, La Plata, MD 20646 | 2009-09-01 |
| 1346472883 | Center for Children, Inc | Community/Behavioral Health | 6100 Radio Station Road, La Plata, MD 20646 | 2009-08-18 |
| 1639396468 | Center for Children, Inc | Community/Behavioral Health | 6100 Radio Station Road, La Plata, MD 20646 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
| 1154921682 | Neo Health Care Services, Inc. | Community/Behavioral Health | 110 Painters Mill Rd Ste 108, Owings Mills, MD 21117-5545 | 2020-10-26 |
| 1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
| 1194324772 | Strength, Courage & Wisdom Behavioral Health | Community/Behavioral Health | 301 Main St Ste 2c, Reisterstown, MD 21136-1957 | 2020-10-23 |
| 1386243194 | Hands of Hope Therapeutic Services LLC | Community/Behavioral Health | 1123 State Route 3 N Ste 189, Gambrills, MD 21054-1715 | 2020-10-22 |
| 1568060630 | Miso Medical Center | Community/Behavioral Health | 14300 Cherry Lane Ct Ste 109, Laurel, MD 20707-4978 | 2020-10-12 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1588270821 | Windward LLC | Community/Behavioral Health | 731 Old Herald Harbor Rd, Crownsville, MD 21032-1524 | 2020-09-22 |
| 1326652702 | Waller Psychotherapy, LLC | Community/Behavioral Health | 11007 Sweet Apple Ct, Upper Marlboro, MD 20772-7103 | 2020-09-03 |
| 1962016147 | One Step Closer Psychiatric Rehabilitation Program | Community/Behavioral Health | 8118 Harford Rd Ste E, Parkville, MD 21234-5725 | 2020-09-03 |
| 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.