CRESCENT CITIES SNF LLC (NPI# 1740759463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740759463 |
| Entity Type | Organization |
| Organization Name | CRESCENT CITIES SNF LLC |
| Practice Address |
4409 E West Hwy Riverdale MD 20737-1058 |
| Practice Telephone | 3016992000 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | ISRAEL BIRNBAUM (AUTHORIZED REP) |
| Authorized Official Telephone | 7329056440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285190520 | Crescent Cities Snf LLC | Occupational Therapist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2019-02-12 |
| Street Address |
4409 E WEST HWY |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407802010 | Crescent Cities Charities Inc | Assisted Living Facility | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2006-05-25 |
| 1447802616 | Supportive Care of Maryland LLC | Psychologist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2019-07-09 |
| 1285190520 | Crescent Cities Snf LLC | Occupational Therapist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2019-02-12 |
| 1083190516 | Md Pacs 2 PC | Hospitalist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2018-07-18 |
| 1326578451 | Sindy Nohemy Chicas Romero | Occupational Therapy Assistant | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2017-06-12 |
| 1740729151 | Crescent Cities Charities Inc | Occupational Therapist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2017-02-17 |
| 1013266170 | George Glenn France Jr. | Physical Therapy Assistant | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2012-09-05 |
| 1700166790 | David Lee Moses | Occupational Therapist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2011-08-22 |
| 1366635625 | Tracy Anne Bryan-oliver | Physical Therapist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2007-08-21 |
| 1598962839 | June Elaine Brown Davis | Occupational Therapist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2007-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1083238885 | Stanley A Mbakwa | Home Health Aide | 5702 Singnate Ln., Riverdale, MD 20737 | 2020-06-08 |
| 1033694542 | Millicent Conteh | Home Health Aide | 6833 Riverdale Road Apt 201c, Riverdale, MD 20737 | 2018-10-01 |
| 1831675388 | Violet Horsfall Osai | Home Health Aide | 5519 Nicholson Street, 202, Riverdale, MD 20737 | 2018-07-18 |
| 1801329867 | Zainab Bangura | Home Health Aide | 6831 Riverdale Road, C201, Riverdale, MD 20737 | 2017-04-06 |
| 1770035768 | Sheila Acheampong | Occupational Therapy Assistant | 4409 East West Hway, Riverdale, MD 20737 | 2016-10-26 |
| 1346614070 | Onyemauwa Mowjoodi | Licensed Vocational Nurse | 6823b Riverdale Rd # B2, Riverdale, MD 20737 | 2015-11-18 |
| 1841677531 | Andre Demetrius Brown Jr. | Home Health Aide | 4706 Oliver Street, Riverdale, MD 20737 | 2015-05-01 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1487054870 | Kilimot Emiola | Home Health Aide | 6139 64th Ave., Apt 3, Riverdale, MD 20737 | 2014-09-04 |
| Find all providers in zip 20737 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578879987 | Abundant Care Assisted Living | Skilled Nursing Facility | 6209 Riverdale Rd, Riverdale, MD 20737-2149 | 2010-08-23 |
| 1174176036 | Riverdale Healthcare LLC | Skilled Nursing Facility | 315 Upper Riverdale Rd Sw, Riverdale, GA 30274-2500 | 2019-07-19 |
| 1255381042 | Sunbridge Retirement Care Associates LLC | Skilled Nursing Facility | 315 Upper Riverdale Rd Sw, Riverdale, GA 30274-2500 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073073623 | Home Care Solutions LLC | Skilled Nursing Facility | 620 Sanders Ln, Oakland, MD 21550-7773 | 2019-03-20 |
| 1972016905 | Prince Georges Post Acute LLC | Skilled Nursing Facility | 1051 Brightseat Road, Landover, MD 20785 | 2017-11-13 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1518493774 | Bea's Hive Assisted Living | Skilled Nursing Facility | 3014 Nightside Drive, Upper Marlboro, MD 20774 | 2017-05-10 |
| 1417490277 | Grace Compassionate Health Care | Skilled Nursing Facility | 113 River Forest Ln, Ft Washington, MD 20744-6240 | 2016-11-28 |
| 1447705967 | Sarah Lorraine Bensinger | Skilled Nursing Facility | 9 N Summit Dr Apt 202, Gaithersburg, MD 20877-3056 | 2016-08-25 |
| 1578927489 | 1046 North Point, LLC | Skilled Nursing Facility | 1046 North Point Rd, Baltimore, MD 21224-3307 | 2016-04-06 |
| 1578927588 | Pineview Extended Care Centre, Inc. | Skilled Nursing Facility | 9016 Pine View Lane, Clinton, MD 20735-3229 | 2016-04-06 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1881063154 | Supplemental Health | Skilled Nursing Facility | 1292 Limit Ave, Idlewylde, MD 21239-1747 | 2015-09-17 |
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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.