PRINCE GEORGE'S COUNTY HEALTH DEPT (NPI# 1932245883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932245883 |
| Entity Type | Organization |
| Organization Name | PRINCE GEORGE'S COUNTY HEALTH DEPT |
| Other Organization Name | YOUTH AND COMMUNITY SERVICES PROGRAM |
| Practice Address |
1801 Mccormick Dr Ste 250 Largo MD 20774-5370 |
| Practice Telephone | 3015830366 |
| Mailing Telephone | 3015830366 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GEORGE MICHAEL KOLARIK (PROGRAM CHIEF) |
| Authorized Official Telephone | 3018833510 |
| Authorized Official Credential | DCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 903170 | MD | Agencies |
| Other Name | Type Code |
|---|---|
| Youth and Community Services Program | Doing Business As Name - Organization |
| Street Address |
1801 MCCORMICK DR STE 250 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548487820 | Prince George's County Health Department | Public Health or Welfare | 1801 Mccormick Dr Fl 2, Largo, MD 20774-5326 | 2007-04-19 |
| 1023091915 | Prince George's County Health Department | Public Health or Welfare | 1701 Mccormick Dr, Largo, MD 20774-5329 | 2005-11-23 |
| 1427467752 | Behavioral Health-prince Georges Health | Public Health or Welfare | 1701 Mccormick Dr, Suite 230, Largo, MD 20774-5329 | 2014-08-12 |
| 1881917441 | Prince George's County Health Department | Public Health or Welfare | 1701 Mccormick Dr, Largo, MD 20774-5329 | 2010-03-10 |
| 1386842219 | Prince George's County Health Department | Public Health or Welfare | 9201 Basil Ct, Suite 404, Largo, MD 20774-5343 | 2007-07-03 |
| 1427251966 | Prince George's County Health Department | Public Health or Welfare | 1801 Mccormick Dr, Suite 260, Largo, MD 20774-5326 | 2007-06-11 |
| 1245433788 | Prince George's County Health Department | Public Health or Welfare | 1801 Mccormick Dr, Suite 260, Largo, MD 20774-5326 | 2007-06-11 |
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| 1104378272 | Feed Your Soul Nutrition and Health | Public Health or Welfare | 3 S Carolina Ave, Pasadena, MD 21122-5437 | 2016-10-25 |
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| 1194193904 | B.v.p. Inc Dba Apps | Public Health or Welfare | 13 Wyndam Ct, Lutherville, MD 21093-3715 | 2015-09-10 |
| 1356718886 | Baltimore County Maryland | Public Health or Welfare | 124 Tollgate Rd, Owings Mills, MD 21117-3350 | 2015-09-01 |
| 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.