SKY NEUROLOGICAL REHABILITATION LLC (NPI# 1912952888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912952888 |
| Entity Type | Organization |
| Organization Name | SKY NEUROLOGICAL REHABILITATION LLC |
| Other Organization Name | SKY NEUROLOGICAL REHABILITATION |
| Practice Address |
190 Admiral Cochrane Dr Suite 180 Annapolis MD 21401-7365 |
| Practice Telephone | 4105716411 |
| Practice Fax Number | 4105716415 |
| Mailing Telephone | 4105716411 |
| Mailing Fax Number | 4105716415 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-12-10 |
| Authorized Official Name | MRS. YVETTE RENE VALIENTE (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 4105716411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
214529 | MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SKY Neurological Rehabilitation | Doing Business As Name - Organization |
| Street Address |
190 ADMIRAL COCHRANE DR SUITE 180 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-7365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124201272 | Michelle J Wilson | Specialist | 190 Admiral Cochrane Dr, Suite 180, Annapolis, MD 21401-7365 | 2007-12-12 |
| 1023291341 | Betty Chan-brown | Speech-Language Pathologist | 190 Admiral Cochrane Dr, Suite 180, Annapolis, MD 21401-7365 | 2007-12-10 |
| 1376763920 | Arlynn Paris | Speech-Language Pathologist | 190 Admiral Cochrane Dr, Suite 180, Annapolis, MD 21401-7365 | 2007-04-26 |
| 1205056710 | Mark Sementilli | Specialist | 190 Admiral Cochrane Dr, Annapolis, MD 21401-7365 | 2007-04-26 |
| 1487874079 | Michelle Rabinowitz | Specialist | 190 Admiral Cochrane Dr, Annapolis, MD 21401-7365 | 2007-04-26 |
| 1174743793 | Pamela Eisenberg | Specialist | 190 Admiral Cochrane Dr, Suite 180, Annapolis, MD 21401-7365 | 2007-04-26 |
| 1063637866 | Maria Lane | Specialist | 190 Admiral Cochrane Dr, Suite 180, Annapolis, MD 21401-7365 | 2007-04-16 |
| 1154441368 | Shelley Houchens | Specialist | 190 Admiral Cochrane Dr, Suite 180, Annapolis, MD 21401-7365 | 2007-03-30 |
| 1184742900 | Myra Sydnor | Speech-Language Pathologist | 190 Admiral Cochrane Dr, Suite 180, Annapolis, MD 21401-7365 | 2007-03-27 |
| 1417073867 | Amy K Mann | Speech-Language Pathologist | 190 Admiral Cochrane Dr, Suite 180, Annapolis, MD 21401-7365 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 1598969792 | Certified Counseling Services, Inc. of Clinton | Clinic/Center | 7911 Old Branch Ave, Second Floor, Clinton, MD 20735-1635 | 2007-06-12 |
| 1255312203 | Man Alive, Inc. | Clinic/Center | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2005-11-08 |
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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.