COMMUNITY CENTERED HOME HEALTHCARE, LLC (NPI# 1952915787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952915787 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CENTERED HOME HEALTHCARE, LLC |
| Practice Address |
2402 Hamilton Ave Baltimore MD 21214-1632 |
| Mailing Address |
12803 Marlow Pl Silver Spring MD 20904-7143 |
| Practice Telephone | 2406056954 |
| Practice Fax Number | 3018903940 |
| Mailing Telephone | 2406056954 |
| Mailing Fax Number | 3018903940 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | MISS CYNTHIA RENEE BRUNSON (MSN, RN, APHN, CEO) |
| Authorized Official Telephone | 2406056954 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CENTERED HOME HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 207 | 05 |
| Other Name | Type Code |
|---|---|
| Unique Solutions Assisted Living and Community Services, LLC | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12803 Marlow Pl, Silver Spring, MD 209047143 | 2406056954 | 3018903940 |
| Street Address |
2402 HAMILTON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21214-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811544034 | Emani Williams | Behavior Technician | 4606 Walker Avenue, Baltimore, MD 21214 | 2019-08-22 |
| 1457831166 | Smith Podiatry & Associates LLC | Clinic/Center | 5610 Harford Rd Ste A, Baltimore, MD 21214 | 2018-08-21 |
| 1013435387 | Marcus Motton | Clinic/Center | 5629 Harford Road, Baltimore, MD 21214 | 2017-09-06 |
| 1528432143 | Beverly Jean Tellis | Social Worker | 6310 Harford Road, Baltimore, MD 21214 | 2015-11-19 |
| 1972848745 | Amy M Young | Occupational Therapist | 5908 Edna Ave, Baltimore, MD 21214 | 2012-12-05 |
| 1306112693 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 4700 Hartford Road, Baltimore, MD 21214 | 2012-03-30 |
| 1578731824 | Rebecca Michele Green | Speech-Language Pathologist | 5302 Plymouth Road, Baltimore, MD 21214 | 2008-02-20 |
| 1891975918 | Karen Schmidt | Occupational Therapist | 604 Hartford Rd., Baltimore, MD 21214 | 2007-11-06 |
| 1972790533 | Patricia Mary Marchetti Smith | Speech-Language Pathologist | 2709 Woodsdale Avenue, Baltimore, MD 21214 | 2007-09-27 |
| 1780896290 | Scott David Hubert | Dentist | 5810 Harford Rd, Baltimore, MD 21214 | 2007-05-04 |
| Find all providers in zip 21214 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222424 | Patton Healthcare Services | Home Health | 2 W 21st St Ste A7, Baltimore, MD 21218-5904 | 2020-10-09 |
| 1720695208 | Zeel | Home Health | 5535 Whitwood Rd, Baltimore, MD 21206-3749 | 2020-09-28 |
| 1346853157 | Chapmanpt | Home Health | 601 E Pratt St Ste 400, Baltimore, MD 21202-3120 | 2020-08-31 |
| 1730792656 | Sky-t Health Services | Home Health | 7 Barletta Ct, Baltimore, MD 21237-4509 | 2020-08-29 |
| 1205447497 | Cornerstone Healthcare Svcs Inc | Home Health | 6315 Harford Rd, Baltimore, MD 21214-1317 | 2020-08-12 |
| 1497365936 | Piof Home Healthcare Services LLC | Home Health | 500 Winston Ave, Baltimore, MD 21212-4513 | 2020-08-07 |
| 1639787724 | Greater Love Home Health Care Inc | Home Health | 145 W Ostend St, Baltimore, MD 21230-3764 | 2020-07-15 |
| 1942823273 | Tracey Brown | Home Health | 133 N Edgewood St, Baltimore, MD 21229-3021 | 2020-05-21 |
| 1447884366 | Katrice Harrington-wall | Home Health | 2114 Allendale Rd, Baltimore, MD 21216-2520 | 2020-02-29 |
| 1033743471 | Caregivers of The Potomac LLC | Home Health | 3200 Fait Ave Apt C, Baltimore, MD 21224-4045 | 2020-02-25 |
| Find all providers in BALTIMORE | ||||
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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.