PURNA CARE SERVICES (NPI# 1861920035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861920035 |
| Entity Type | Organization |
| Organization Name | PURNA CARE SERVICES |
| Practice Address |
6710 Oxon Hill Rd Ste 210 Oxon Hill MD 20745-1124 |
| Mailing Address |
3540 Crain Hwy Ste 484 Bowie MD 20716-1303 |
| Practice Telephone | 2403906298 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2020-03-09 |
| Authorized Official Name | DENEEN FRAZIER (OWNER) |
| Authorized Official Telephone | 2403881642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Optimum Integrated Healthcare | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16244 Brooktrail Ct, Upper Marlboro, MD 207723274 | 2403881642 | |
| 3540 Crain Hwy Ste 484, Bowie, MD 207161303 | 2403906298 |
| Street Address |
6710 OXON HILL RD STE 210 |
| City | OXON HILL |
| State | MD |
| Zip Code | 20745-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255456422 | Vabian Lewitt Paden | Physical Medicine & Rehabilitation | 6710 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-1124 | 2007-03-20 |
| 1285268318 | Podiatry Health & Wellness Care | Podiatrist | 6710 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-1124 | 2020-02-27 |
| 1841839297 | Barbara Williams | Counselor | 6710 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-1124 | 2020-01-02 |
| 1457903205 | Dana Ashley Foster | Nurse Practitioner | 6710 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-1124 | 2019-07-11 |
| 1376107813 | Fortitude Counseling Center LLC | Marriage & Family Therapist | 6710 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-1124 | 2019-04-30 |
| 1215447941 | Rita Johnson | Counselor | 6710 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-1124 | 2017-10-09 |
| 1073067054 | Carafap- Care and Recreational Activities for Autistic People | Counselor | 6710 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-1124 | 2016-08-08 |
| 1962709659 | Cornealius Lashan Stamps | Social Worker | 6710 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-1124 | 2011-02-16 |
| 1346564747 | Taunna Jones | Podiatrist | 6710 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-1124 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086304 | Envue Eye & Laser Center LLC | Ophthalmology | 251 Harbor Blvd, Oxon Hill, MD 20745 | 2020-06-06 |
| 1902441264 | Dean Hasan | Pharmacist | 6163 Oxon Hill Road, National Harbor, MD 20745 | 2019-11-11 |
| 1093360570 | Ebony D Mckinley | Social Worker | 6188 Oxon Hill Road Suite 500, Oxon Hill, MD 20745 | 2019-08-02 |
| 1134691579 | Lisa Mellynchuk | Occupational Therapist | 1400 Nalley Terrance, Room 16, Landover, MD 20745 | 2018-12-26 |
| 1083102438 | Prince George's County Health Department | Family Medicine | 6701 Leyte Drive, Oxon Hill, MD 20745 | 2018-05-01 |
| 1841710746 | Courtnee Carroll | Technician | 5612 Dundalk Dr, Oxon Hill, MD 20745 | 2017-06-21 |
| 1699217679 | Charity Oronos | Physical Therapist | 6981 Oxon Hill Rd, Oxon Hill, MD 20745 | 2016-11-08 |
| 1689004913 | Gerald Jerome Smith | Dentist | 5306 Wheeler Road, Oxon Hill, MD 20745 | 2013-11-22 |
| 1427487644 | Harborside Urgent Care | Clinic/Center | 215 American Way, National Harbor, MD 20745 | 2013-11-07 |
| 1417385840 | Nursing Unlimited Services, Inc | Home Health | 909 East Meadow Ct, Oxon Hill, MD 20745 | 2013-10-22 |
| Find all providers in zip 20745 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134041 | Jessica Lyn Noel | Case Manager/Care Coordinator | 27 Lehigh Ave, Hagerstown, MD 21742-6537 | 2020-11-06 |
| 1497354815 | Rhonda Sue Skidmore | Case Manager/Care Coordinator | 16112 Mount Savage Rd Nw, Mount Savage, MD 21545-1662 | 2020-10-19 |
| 1245846633 | Alexis Harrison | Case Manager/Care Coordinator | 63 Saturn Ct, Parkville, MD 21234-6032 | 2020-09-21 |
| 1619581972 | Sandra Burns | Case Manager/Care Coordinator | 18622 Opessa St, Oldtown, MD 21555 | 2020-09-03 |
| 1205447828 | Lashundra R Mesumbe | Case Manager/Care Coordinator | 3839 64th Ave Apt 103, Hyattsville, MD 20784-1805 | 2020-08-17 |
| 1861003444 | Circle of Supports Inc. | Case Manager/Care Coordinator | 718 Clopper Rd Apt 34, Gaithersburg, MD 20878-1333 | 2020-08-16 |
| 1437769106 | Charlene Gaughan | Case Manager/Care Coordinator | 509 Rose Hill Ave, Cumberland, MD 21502-3333 | 2020-08-06 |
| 1891304119 | Carol Jo Thomas | Case Manager/Care Coordinator | 21112 Creek Side Dr Sw, Westernport, MD 21562-2001 | 2020-07-23 |
| 1447877188 | Hannah Renee Nagy | Case Manager/Care Coordinator | 1119 E West Hwy, Silver Spring, MD 20910-4852 | 2020-06-29 |
| 1982231528 | Bosede Bello | Case Manager/Care Coordinator | 3249 Purple Leaf Ln, Laurel, MD 20724-6132 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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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.