SOUTHERN MARYLAND CENTER FOR INDEPENDENT LIVING (NPI# 1790219004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790219004 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND CENTER FOR INDEPENDENT LIVING |
| Practice Address |
38588 Brett Way Suite 1 Mechanicsville MD 20659-7218 |
| Practice Telephone | 3018844498 |
| Practice Fax Number | 3018846099 |
| Mailing Telephone | 3018844498 |
| Mailing Fax Number | 3018846099 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Authorized Official Name | MS. LIDIYA BELYOVSKA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3018844498 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 324400800 | 05 |
| Street Address |
38588 BRETT WAY SUITE 1 |
| City | MECHANICSVILLE |
| State | MD |
| Zip Code | 20659-7218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508032111 | Erik Scott Glassman | Emergency Medical Technician, Paramedic | 38588 Brett Way, Unit 5, Mechanicsville, MD 20659-7218 | 2008-05-03 |
| 1497905707 | Patriot Medical Transport System, LLC | Ambulance | 38588 Brett Way, Mechanicsville, MD 20659-7218 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841695111 | Amanda Gick | Specialist/Technologist | 26926 Tin Top School Rd, Mechanicsville, MD 20659 | 2014-10-29 |
| 1518279322 | Alan J Gill | Dentist | 28160 Old Village Road, Mechanicsville, MD 20659 | 2010-07-09 |
| 1760669881 | Gina Mccray Dds Pa | Dentist | 28160 Old Village Rd., Mechanicsville, MD 20659 | 2008-01-31 |
| 1861690497 | Shah Associates Md LLC | Family Medicine | 281 Three Notch Rd Ste 101, Mechanicsville Medical Center, Mechanicsville, MD 20659 | 2007-07-05 |
| 1528153111 | Mechanicsville Ambulatory Surgery Center, LLC | Clinic/Center | 28227 Three Notch Road, Mechanicsville, MD 20659 | 2006-10-03 |
| 1912980350 | Vickie Elsesser-vu | Social Worker | 27108 Mt Zion Church Rd, Mechanicsville, MD 20659 | 2005-11-21 |
| 1043779085 | St. Mary's Center for Dental Sleep Medicine LLC | Dentist | 28160 Old Village Road, Mechanicsville, MD 20659 | 2019-03-19 |
| 1154542264 | Barbara B Nunes | Social Worker | 6100 Radio Station Road, Laplata, MD 20659 | 2007-05-02 |
| 1245673920 | Elizabeth A Pugh | Occupational Therapist | 25941 Chaffee Ct, Mechanicsville, MD 20659-2717 | 2013-04-11 |
| 1720601842 | Amy Paulk | Registered Nurse | 26471 N Sandgates Rd, Mechanicsville, MD 20659-2748 | 2020-05-22 |
| Find all providers in zip 20659 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972866861 | The Rodgers Initiative for Community Health | Case Management | 7045 Mechanicsville Tpke, #702, Mechanicsville, VA 23111-7100 | 2012-06-17 |
| 1750691283 | Sovereignty Community Care | Case Management | 7288 Hanover Green Dr, Mechanicsville, VA 23111-1706 | 2010-10-18 |
| 1316957327 | Faith & Family Advocate, LLC | Case Management | 8234 Fourscore Dr, Mechanicsville, VA 23111-4541 | 2006-08-09 |
| 1801413869 | Infinite Belief | Case Management | 7260 Cold Harbor Rd Apt 304, Mechanicsville, VA 23111-5063 | 2020-06-25 |
| 1992335574 | Beyond The Bedside, LLC | Case Management | 8088 Manton Ct, Mechanicsville, VA 23116-2758 | 2020-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081939 | Heavenly Helpers Home Health Services | Case Management | 11548 Lady Alison Ct, Waldorf, MD 20601-4630 | 2020-10-20 |
| 1699380154 | Potomac Case Management Services, Inc. | Case Management | 29 Baltimore St, Cumberland, MD 21502-3024 | 2020-09-11 |
| 1821613373 | Keys Development Ta | Case Management | 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 | 2020-06-10 |
| 1821613530 | Renaye James Healthcare Advisors, LLC | Case Management | 12028 Open Run Rd, Ellicott City, MD 21042-6101 | 2020-06-09 |
| 1902420680 | Infostructures, Inc. | Case Management | 1390 Piccard Dr Ste 330, Rockville, MD 20850-6540 | 2020-05-29 |
| 1235752064 | Recovery Coalition of Maryland | Case Management | 2900 Hammonds Ferry Rd, Halethorpe, MD 21227-3142 | 2020-05-27 |
| 1922628783 | Rehabilitation Center for Humanity LLC | Case Management | 4200 Edmondson Ave Ste 103, Baltimore, MD 21229-1600 | 2020-04-22 |
| 1073149183 | Inner County Outreach, Inc. | Case Management | 529 Edmund St, Aberdeen, MD 21001-3429 | 2020-03-20 |
| 1376177170 | Center for Community Services | Case Management | 8041 White Jasmine Ct, Ellicott City, MD 21043-4984 | 2020-03-02 |
| 1811521404 | Center for Children, Inc. | Case Management | 4550 Forbes Blvd Ste 350, Lanham, MD 20706-4394 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICSVILLE |
| Zip Code | 20659 |
Please comment or provide details below to improve the information on SOUTHERN MARYLAND CENTER FOR INDEPENDENT LIVING.
| 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.