YOUR SUPPORT SERVICE (NPI# 1790290377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790290377 |
| Entity Type | Organization |
| Organization Name | YOUR SUPPORT SERVICE |
| Practice Address |
6309 Baltimore Ave Ste 201 Riverdale MD 20737-1059 |
| Practice Telephone | 3012097233 |
| Mailing Telephone | 3012097233 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |
| Authorized Official Name | CAROLYN SIMMS (CEO) |
| Authorized Official Telephone | 3012097233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866022 | Your Support Service | Clinic/Center | 6309 Baltimore Ave Ste 201, Riverdale, MD 20737-1059 | 2017-12-05 |
| 1457864472 | Your Support Service | Case Management | 6309 Baltimore Ave, Riverdale, MD 20737-1059 | 2017-11-13 |
| Street Address |
6309 BALTIMORE AVE STE 201 |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866022 | Your Support Service | Clinic/Center | 6309 Baltimore Ave Ste 201, Riverdale, MD 20737-1059 | 2017-12-05 |
| 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 | 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 |
|---|---|---|---|---|
| 1326307257 | A Affordable Dui School LLC | Community/Behavioral Health | 6360 Highway 85, Riverdale, GA 30274-1609 | 2012-05-12 |
| 1407131097 | Global Matrix International Inc. | Community/Behavioral Health | 6030 Hwy 85 Ste 202-4, Riverdale, GA 30274 | 2011-10-15 |
| 1114229440 | Angels Around Us | Community/Behavioral Health | 8915 Creekwood Ct, Riverdale, GA 30274-4601 | 2010-11-18 |
| 1013249283 | Panacea Counseling Services LLC | Community/Behavioral Health | 1436 King Rd, Riverdale, GA 30296-2915 | 2010-02-12 |
| 1568796001 | Ucan | Community/Behavioral Health | 13700 S Indiana Ave, Riverdale, IL 60827-1842 | 2009-10-01 |
| 1023242096 | Tranquility Health Incorporated | Community/Behavioral Health | 113 Upper Riverdale Road, Riverdale, GA 30274 | 2009-05-06 |
| 1104082866 | Clayton Mhddad | Community/Behavioral Health | 269 Valley Hill Rd Sw, Riverdale, GA 30274-2745 | 2008-08-01 |
| 1982888640 | Kiya Club Comprehensive Treatment Center | Community/Behavioral Health | 1258 Highway 138 Sw, Riverdale, GA 30296-1402 | 2007-12-18 |
| 1275713174 | My Sister's Keeper Family Services, Inc. | Community/Behavioral Health | 804 Commerce Blvd Ste A8, Riverdale, GA 30296-3321 | 2007-11-07 |
| 1750560272 | Metro Atlanta Counseling Services, Inc. | Community/Behavioral Health | 6728 Highway 85 Ste A4, Riverdale, GA 30274-2393 | 2007-11-01 |
| Find all providers in RIVERDALE | ||||
Please comment or provide details below to improve the information on YOUR SUPPORT SERVICE.
| 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.