TYPE 1 INDIVIDUAL PROVIDER (NPI# 1952543191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952543191 |
| Entity Type | Organization |
| Organization Name | TYPE 1 INDIVIDUAL PROVIDER |
| Other Organization Name | TYPE 1 INDIVIDUAL PROVIDER |
| Practice Address |
1620 Elton Rd Silver Spring MD 20903-1740 |
| Practice Telephone | 3014397191 |
| Mailing Telephone | 3014397191 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-08 |
| Authorized Official Name | MS. BRENA GIBSON (HUMAN RESOURCES DIRECTOR) |
| Authorized Official Telephone | 3014397191 |
| Authorized Official Credential | P.H.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | LC2381 | MD | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Type 1 Individual Provider | Other Name - Individual/Organization |
| Street Address |
1620 ELTON RD |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20903-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952418279 | Ephesians Life Ministries, Inc. | Voluntary or Charitable | 1620 Elton Rd, Suite #204, Silver Spring, MD 20903-1740 | 2006-08-23 |
| 1295115749 | Celitta Ann Jackson | Counselor | 1620 Elton Rd, Suite 206, Silver Spring, MD 20903-1740 | 2015-05-30 |
| 1952617615 | Arvella Floyd | Counselor | 1620 Elton Rd, Suite 204, Silver Spring, MD 20903-1740 | 2010-08-19 |
| 1669785622 | Tanesha Rochelle Mayo | Social Worker | 1620 Elton Rd, Suite 204, Silver Spring, MD 20903-1740 | 2010-07-20 |
| 1831420991 | Ephesians Life Ministries | Social Worker | 1620 Elton Rd, Suite 204, Silver Spring, MD 20903-1740 | 2010-01-28 |
| 1558504399 | Sheila Cuomo | Counselor | 1620 Elton Rd, Suite 204, Silver Spring, MD 20903-1740 | 2009-04-09 |
| 1114190030 | Gwendolyn Johnson Williams | Social Worker | 1620 Elton Rd, 204, Silver Spring, MD 20903-1740 | 2008-04-11 |
| 1528246485 | Stephen Paul Osterhout | Social Worker | 1620 Elton Rd, Suite 204, Silver Spring, MD 20903-1740 | 2008-02-03 |
| 1841403524 | Sherri Sue Mckenna | Social Worker | 1620 Elton Rd, Suite 204, Silver Spring, MD 20903-1740 | 2007-05-08 |
| 1790909356 | Laurie M. Canevali | Social Worker | 1620 Elton Rd, Suite 204, Silver Spring, MD 20903-1740 | 2007-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699257030 | Charlotte Himmelfarb | Speech-Language Pathologist | 831 University Blvd East Suite 14, Silver Spring, MD 20903 | 2018-09-01 |
| 1811488661 | Gabriel Nke | Home Health Aide | 162 Ames Rd, Silver Spring, MD 20903 | 2018-05-27 |
| 1962916973 | Asumta Ngum Tumasang | Psychologist | 9704 Mount Pisgah Rd Apt 101, Silver Spring, MD 20903 | 2017-11-29 |
| 1881116440 | Charlotte Zanguim | Home Health Aide | 1022 Quebec Ter Apartment 304, Silver Spring, MD 20903 | 2017-07-14 |
| 1396280301 | Joffi Eware | Home Health Aide | 9727 Mt Pisgah Rd, Silverspring, MD 20903 | 2016-12-29 |
| 1427593797 | Iris Cruz | Home Health Aide | 914 North Hampton Drive, Silver Springs, MD 20903 | 2016-12-22 |
| 1831633551 | Edwige Mafo | Home Health Aide | 8806 Piney Branch Road, Apt 1608, Silver Spring, MD 20903 | 2016-12-14 |
| 1598210395 | Yenatawork Wubie Debalke | Home Health Aide | 9710 Hedin Dr, Silver Spring, MD 20903 | 2016-08-22 |
| 1376912956 | Fonka Ebonike | Home Health Aide | 603 North Hampton Dr, Silver Spring, MD 20903 | 2015-09-24 |
| 1124400460 | Charline Epse Kuete | Home Health Aide | 831 Northampton Dr, Silver Spring, MD 20903 | 2015-06-23 |
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| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518105238 | Aaa Lovely Care, LLC | Exclusive Provider Organization | 607 University Blvd W, Silver Spring, MD 20901-4626 | 2009-02-03 |
| 1598905812 | Aaa Lovely Care LLC | Exclusive Provider Organization | 607 University Blvd W, Silver Spring, MD 20901-4626 | 2009-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433135 | The Christen Group, Inc. | Exclusive Provider Organization | 16122 Mcconnell Dr, Upper Marlboro, MD 20772-3283 | 2020-09-24 |
| 1619521333 | Kelly Vahey LLC | Exclusive Provider Organization | 11350 Mccormick Rd # Ll10, Hunt Valley, MD 21031-1002 | 2019-07-31 |
| 1104226653 | Skp Family Dental | Exclusive Provider Organization | 7525 Greenway Center Dr Ste 310, Greenbelt, MD 20770-3525 | 2014-09-02 |
| 1083022974 | Professional Sportscare and Rehab | Exclusive Provider Organization | 203 Grindall St, Baltimore, MD 21230-4103 | 2014-07-24 |
| 1720402415 | Darma Inc | Exclusive Provider Organization | 12921 Dunkirk Dr, Upper Marlboro, MD 20772-9303 | 2014-02-14 |
| 1477983468 | Life Spring Counseling and Consultation Services LLC | Exclusive Provider Organization | 6490 Landover Rd Ste I, Cheverly, MD 20785-1443 | 2013-11-12 |
| 1366874570 | Matthew Patrick Momoh | Exclusive Provider Organization | 216 Prenton St, Upper Marlboro, MD 20774-1534 | 2013-07-30 |
| 1972859866 | Ta Health Services | Exclusive Provider Organization | 8839 Stonebrook Ln, Columbia, MD 21046-1415 | 2012-07-28 |
| 1629396809 | Mentoring The Future Inc | Exclusive Provider Organization | 1816 Graybird Ct, Severn, MD 21144-3130 | 2010-05-12 |
| 1629392550 | Jay Stephen Margolis Md Pa | Exclusive Provider Organization | 8502 Topping Rd, Baltimore, MD 21208-1610 | 2010-03-22 |
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| City | SILVER SPRING |
| Zip Code | 20903 |
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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.