REDICLINIC OF MD, LLC (NPI# 1962805762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962805762 |
| Entity Type | Organization |
| Organization Name | REDICLINIC OF MD, LLC |
| Practice Address |
9810 Apollo Dr Largo MD 20774-4824 |
| Mailing Address |
9 Greenway Plz Ste. 2950 Houston TX 77046-0905 |
| Practice Telephone | 7133351754 |
| Mailing Telephone | 7133351754 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2015-12-29 |
| Authorized Official Name | DANIELLE BARRERA (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7135809489 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245633221 | Rediclinic of Md, LLC | Clinic/Center | 101 Reisterstown Rd., Pikesville, MD 21208-6102 | 2014-10-03 |
| 1659774644 | Rediclinic of Md, LLC | Clinic/Center | 6130 Baltimore Avenue, Riverdale, MD 20737-1905 | 2014-10-03 |
| 1730582867 | Rediclinic of Md, LLC | Clinic/Center | 11917-19 Reisterstown Rd., Reisterstown, MD 21136-3030 | 2014-10-03 |
| 1750731873 | Rediclinic of Md, LLC | Clinic/Center | 8701 Georgia Ave, Suite 100, Silver Spring, MD 20910-3713 | 2016-06-20 |
| 1942650395 | Rediclinic of Md, LLC | Clinic/Center | 9 Greenway Plz, Suite 2950, Houston, TX 77046-0905 | 2016-06-16 |
| 1053789768 | Rediclinic of Md, LLC | Clinic/Center | 250 Englar Road, Ste. 22, Westminster, MD 21157-2927 | 2015-09-11 |
| 1528447539 | Rediclinic of Md, LLC | Clinic/Center | 25 Jones Station Rd W, Severna Park, MD 21146-4200 | 2015-05-22 |
| 1841677465 | Rediclinic of Md, LLC | Clinic/Center | 5 Bel Air South Parkway, Ste. 1347, Bel Air, MD 21015-3809 | 2015-05-04 |
| 1356728984 | Rediclinic of Md, LLC | Clinic/Center | 8601 Baltimore National Pike, Ellicott City, MD 21043-4176 | 2015-05-04 |
| 1346643392 | Rediclinic of Md, LLC | Clinic/Center | 6300 York Road, Baltimore, MD 21212-2635 | 2014-10-06 |
| Street Address |
9810 APOLLO DR |
| City | LARGO |
| State | MD |
| Zip Code | 20774-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508171182 | Gerria Marie Ballard | Pharmacist | 9810 Apollo Dr, Largo, MD 20774-4824 | 2010-08-08 |
| 1588189062 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9810 Apollo Dr, Largo, MD 20774-4824 | 2017-08-07 |
| 1811303910 | Mynga Hua | Pharmacist | 9810 Apollo Dr, Largo, MD 20774-4824 | 2014-07-09 |
| 1144518747 | Kush Patel | Pharmacist | 9810 Apollo Dr, Largo, MD 20774-4824 | 2011-07-16 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265040976 | Gulf Coast Mental Health Services LLC | Clinic/Center | 10641 Whittngton Court, Largo, FL 33773 | 2020-07-20 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1942462049 | Community Counseling & Mentoring Services,inc | Clinic/Center | 1400 Mercantile Ln Ste 232, Largo, MD 20774-5353 | 2008-06-30 |
| 1629075874 | Indian Rocks Medical Center Inc | Clinic/Center | 12685 Ulmerton Rd, Largo, FL 33774-3603 | 2005-07-01 |
| 1588151906 | Carrie Shulman Md LLC | Clinic/Center | 13121 66th St, Largo, FL 33773-1812 | 2018-04-20 |
| 1902178395 | J. Michael Stolley, D.c., P.a. | Clinic/Center | 12122 Seminole Blvd, Largo, FL 33778-2833 | 2012-02-01 |
| 1396808705 | Asresahgn M Getachew | Clinic/Center | 1400 Mercantile Ln, Suite 180, Largo, MD 20774-5341 | 2006-12-18 |
| 1588724009 | Meskerem Asresahegn | Clinic/Center | 1400 Mercantile Ln, Suite 180, Largo, MD 20774-5341 | 2006-12-12 |
| 1306881057 | Community Counseling & Mentoring Services, Inc | Clinic/Center | 1300 Mercantile Ln, Suite 208, Largo, MD 20774-5327 | 2006-06-17 |
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|---|---|---|---|---|
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| 1801494810 | Hd Telecommunications LLC | Clinic/Center | 1280 Wesel Blvd Ste C, Hagerstown, MD 21740-5378 | 2020-10-12 |
| 1679180327 | People Inspiring People | Clinic/Center | 3407 Tewkesbury Rd, Abingdon, MD 21009-1095 | 2020-09-28 |
| 1417563883 | Healthy Generations Comprehensive Care LLC | Clinic/Center | 7850 Rossville Blvd Ste 210, Nottingham, MD 21236-3934 | 2020-09-21 |
| 1093328148 | Cerner Health Connections, Inc | Clinic/Center | 15045 Burnt Store Rd, Hughesville, MD 20637-2699 | 2020-08-28 |
| 1750991121 | Global Center for Autism Services, LLC | Clinic/Center | 4485 Forbes Blvd, Lanham, MD 20706-4354 | 2020-07-31 |
| 1497384945 | Unique Minds Behavioral Health Services, LLC | Clinic/Center | 8101 Sandy Spring Rd Ste 300-e6, Laurel, MD 20707-3596 | 2020-04-06 |
| 1215565957 | Red Canyon, LLC | Clinic/Center | 7402 York Rd Ste 104, Towson, MD 21204-7519 | 2020-03-30 |
| 1215560396 | Bridge To Holistic Healing, LLC | Clinic/Center | 223 N Prospect St Ste 306, Hagerstown, MD 21740-3783 | 2020-02-18 |
| 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.