CALVERT HOSPICE, INC (NPI# 1750718839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750718839 |
| Entity Type | Organization |
| Organization Name | CALVERT HOSPICE, INC |
| Other Organization Name | PALLIATIVE MEDICINE OF SOUTHERN MARYLAND |
| Practice Address |
238 Merrimac Ct Prince Frederick MD 20678-0838 |
| Practice Telephone | 4105350892 |
| Practice Fax Number | 4105355677 |
| Mailing Telephone | 4105350892 |
| Mailing Fax Number | 4105355677 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | JEAN FLEMING (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4105350892 |
| Authorized Official Credential | EDD, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| Other Name | Type Code |
|---|---|
| Palliative Medicine of Southern Maryland | Doing Business As Name - Organization |
| Street Address |
238 MERRIMAC CT |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-0838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609068980 | Calvert Hospice Physician | Hospice Care, Community Based | 238 Merrimac Ct, Prince Frederick, MD 20678 | 2007-08-10 |
| 1588165724 | Rachel Elaine Sherman | Nurse Practitioner | 238 Merrimac Ct, Prince Frederick, MD 20678-6113 | 2018-02-22 |
| 1699175331 | Amy Szatanek | Social Worker | 238 Merrimac Ct, Prince Frederick, MD 20678-6113 | 2014-08-29 |
| 1871754499 | Stephanie B. Carpenter | Internal Medicine | 238 Merrimac Ct, Prince Frederick, MD 20678-6113 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184608598 | Calvert Hospice, Inc. | PACE Provider Organization | 238 Merrimac Court, Prince Frederick, MD 20678-0838 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629556824 | Absolutecare Inc | PACE Provider Organization | 7515 Annapolis Rd Ste 206, Hyattsville, MD 20784-1740 | 2018-07-31 |
| 1669758066 | Helping Lovng Hands,llc | PACE Provider Organization | 14167 Castle Blvd Apt 204, Silver Spring, MD 20904-4787 | 2011-10-29 |
| 1659410629 | Advantica Virginia, Lcc | PACE Provider Organization | 3290 Pine Orchard Ln, Suite D, Ellicott City, MD 21042-2374 | 2007-02-06 |
| 1538200027 | Advantica Southwest Virginia, LLC | PACE Provider Organization | 3290 Pine Orchard Ln, Suite D, Ellicott City, MD 21042-2374 | 2007-02-09 |
| 1689714875 | Advantica Dc-nova, LLC | PACE Provider Organization | 3290 Pine Orchard Ln, Suite D, Ellicott City, MD 21042-2374 | 2007-02-07 |
| 1417097940 | Advantica Baltimore, Lcc | PACE Provider Organization | 3290 Pine Orchard Ln, Suite D, Ellicott City, MD 21042-2374 | 2007-02-07 |
| 1336211929 | Johns Hopkins Health System | PACE Provider Organization | 4940 Eastern Ave, Mfl Bldg, First Floor, East, Baltimore, MD 21224-2735 | 2006-11-15 |
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.