MARYLAND REAL LIFE DESIGNS, LLC (NPI# 1861726424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861726424 |
| Entity Type | Organization |
| Organization Name | MARYLAND REAL LIFE DESIGNS, LLC |
| Other Organization Name | REAL LIFE PROSTHETICS |
| Practice Address |
300 Biddle Ave Suite 212 Newark DE 19702-3969 |
| Mailing Address |
3435 Box Hill Corporate Center Dr Suite D Abingdon MD 21009-1204 |
| Practice Telephone | 3023921947 |
| Practice Fax Number | 4105697477 |
| Mailing Telephone | 4105690606 |
| Mailing Fax Number | 4105697477 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |
| Authorized Official Name | JONAS W SEEBERG (PRESIDENT) |
| Authorized Official Telephone | 4105690606 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 2006602592 | DE | Suppliers |
| Other Name | Type Code |
|---|---|
| Real Life Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124028535 | Maryland Real Life Designs, LLC | Prosthetic/Orthotic Supplier | 3435 Box Hill Corporate Center Dr, Suite D, Abingdon, MD 21009-1204 | 2005-07-28 |
| 1912216557 | Maryland Real Life Designs, LLC | Prosthetic/Orthotic Supplier | 100 Biddle Ave, Suite 100, Newark, DE 19702-3981 | 2010-09-30 |
| 1144538497 | Maryland Real Life Designs, LLC | Prosthetic/Orthotic Supplier | 110 West Rd, Suite 105, Towson, MD 21204-2316 | 2010-09-21 |
| 1609184951 | Maryland Real Life Designs, LLC | Prosthetic/Orthotic Supplier | 932 Washington Ave, Chestertown, MD 21620-3324 | 2010-09-21 |
| Street Address |
300 BIDDLE AVE SUITE 212 |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-3969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598730723 | Robin J Simpson | Family Medicine | 300 Biddle Ave, Suite 200, Newark, DE 19702-3969 | 2006-02-21 |
| 1336622034 | Debra Meliodon | Counselor | 300 Biddle Ave, 207 Concord Building, Newark, DE 19702 | 2018-09-10 |
| 1356830053 | Caitlin Marie Flatley | Family Medicine | 300 Biddle Ave, Conner Building, Newark, DE 19702 | 2018-05-08 |
| 1487106258 | Mindy Myers | Speech-Language Pathologist | 300 Biddle Ave, Suite 101, Newark, DE 19702 | 2016-10-27 |
| 1013395409 | All About Pain and Spine | Pain Medicine | 300 Biddle Ave, Suite 203, Newark, DE 19702-3969 | 2015-05-18 |
| 1366865958 | Patricia Ayers | Social Worker | 300 Biddle Ave, Newark, DE 19702-3969 | 2014-02-03 |
| 1881024321 | Karen B Rohrer | Occupational Therapist | 300 Biddle Ave, Newark, DE 19702-3969 | 2013-11-20 |
| 1942533427 | Jessica M Casale | Registered Nurse | 300 Biddle Ave, Suite 200, Newark, DE 19702-3969 | 2009-09-15 |
| 1639338908 | Seasons Hospice & Palliative Care of Delaware, LLC | Hospice Care, Community Based | 300 Biddle Ave, Ste 205, Newark, DE 19702-3969 | 2008-06-03 |
| 1578608592 | Delaware Modern Pediatrics | Pediatrics | 300 Biddle Ave, Connor Building Suite 206, Newark, DE 19702-3969 | 2007-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194161117 | Precision Hair & Wig Boutique | Prosthetic/Orthotic Supplier | 7 Liberty Plz, Newark, DE 19711-5539 | 2013-05-16 |
| 1386933273 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 100 Christiana Mall, Newark, DE 19702-3202 | 2011-03-31 |
| 1942475181 | Lavender Wisp Lingerie Co | Prosthetic/Orthotic Supplier | 78 Richmond Street, Newark, NJ 07103 | 2008-04-29 |
| 1912216557 | Maryland Real Life Designs, LLC | Prosthetic/Orthotic Supplier | 100 Biddle Ave, Suite 100, Newark, DE 19702-3981 | 2010-09-30 |
| 1881733939 | Vicki J. Miller-savard & Carrie Z. O'neill | Prosthetic/Orthotic Supplier | 1000 Driving Park Ave, Newark, NY 14513-1050 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585789 | Orthologix, LLC | Prosthetic/Orthotic Supplier | 2700 Silverside Rd Ste 5a, Wilmington, DE 19810-3724 | 2019-12-17 |
| 1437450293 | Mid Atlantic Prosthetics and Orthotics North | Prosthetic/Orthotic Supplier | 2604 Kirkwood Hwy, Suite C, Wilmington, DE 19805-4910 | 2010-11-10 |
| 1811128242 | Delaware Pedorthics | Prosthetic/Orthotic Supplier | 5321 Brandywine Pkwy, Wilmington, DE 19803-1471 | 2009-08-03 |
| 1609021419 | Rothschild's Orthopedic Appliances, Inc | Prosthetic/Orthotic Supplier | 903 Lakeview Ave, Milford, DE 19963-1731 | 2008-11-20 |
| 1538345996 | Gf Sales, Inc | Prosthetic/Orthotic Supplier | 222 E Dupont Hwy, 28544 Dupont Blvd, Unit 14, Millsboro, DE 19966-1800 | 2008-01-16 |
| 1649309972 | Independence Prosthetics-orthotics, Inc. | Prosthetic/Orthotic Supplier | 19160 Coastal Hwy Unit A, Rehoboth Beach, DE 19971-6110 | 2007-03-04 |
| 1972571438 | Lawall Prosthetics/orthotics, Inc | Prosthetic/Orthotic Supplier | 514 N Dupont Hwy, Dover, DE 19901-3961 | 2006-03-10 |
| 1669472692 | Lawall Prosthetic/orthotics, Inc. | Prosthetic/Orthotic Supplier | 1822 Augustine Cut Off, Wilmington, DE 19803-4405 | 2005-08-01 |
| 1205468964 | Withinyourreach LLC | Prosthetic/Orthotic Supplier | 320 E Main St, Middletown, DE 19709-1482 | 2020-02-10 |
| 1619510278 | Unique Hair Creations | Prosthetic/Orthotic Supplier | 1192 Forrest Ave, Dover, DE 19904-3379 | 2019-10-25 |
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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.