CORAM HEALTHCARE CORPORATION OF GREATER DC (NPI# 1962897959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962897959 |
| Entity Type | Organization |
| Organization Name | CORAM HEALTHCARE CORPORATION OF GREATER DC |
| Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Practice Address |
7600 Crain Hwy Upper Marlboro MD 20772-4232 |
| Mailing Address |
555 17th St Suite 1500 Denver CO 80202-3950 |
| Practice Telephone | 4107206501 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2016-03-24 |
| Authorized Official Name | JODY L KEPLER (PRESIDENT) |
| Authorized Official Telephone | 3036728631 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORAM HEALTHCARE CORPORATION OF GREATER DC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Coram CVS/specialty Infusion Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659300861 | Coram Healthcare Corporation of Greater Dc | Pharmacy | 7150 Columbia Gateway Dr, Suite E, Columbia, MD 21046-2972 | 2006-07-01 |
| 1689069676 | Coram Healthcare Corporation of Greater Dc | Clinic/Center | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2015-04-06 |
| 1245625235 | Coram Healthcare Corporation of Greater Dc | Clinic/Center | 300 Ballenger Center Dr, Frederick, MD 21703-7096 | 2015-04-06 |
| 1396130381 | Coram Healthcare Corporation of Greater Dc | Clinic/Center | 10 E Wilson Blvd, Hagerstown, MD 21740-7331 | 2015-04-06 |
| 1134228745 | Coram Healthcare Corporation of Greater Dc | Home Health | 4115 Pleasant Valley Rd, Suite 200, Chantilly, VA 20151-1220 | 2006-09-21 |
| Street Address |
7600 CRAIN HWY |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20772-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952653545 | Minoka Mcpherson | Nurse Practitioner | 7600 Crain Hwy, Upper Marlboro, MD 20772-4232 | 2012-10-08 |
| 1700499571 | Ashley Carrington | Pharmacist | 7600 Crain Hwy, Upper Marlboro, MD 20772-4232 | 2020-08-31 |
| 1821549056 | Cvs Pharmacy | Pharmacy | 7600 Crain Hwy, Upper Marlboro, MD 20772-4232 | 2016-10-24 |
| 1003225012 | Cvs Pharmacy | General Acute Care Hospital | 7600 Crain Hwy, Upper Marlboro, MD 20772-4232 | 2014-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355077 | Doris Lynn Perkins | Pharmacist | 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 | 2020-10-31 |
| 1730790221 | Creative Mind Therapy | Community/Behavioral Health | 12419 Dorsey Ln, Upper Marlboro, MD 20772 | 2020-08-10 |
| 1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
| 1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
| 1932668134 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-03-18 |
| 1033673918 | Shonte Renee Drakeford | Nurse Practitioner | 6610 Woodyard Road, Upper Marlboro, MD 20772 | 2019-01-25 |
| 1902391261 | Myenne Hanson | Home Health Aide | 5002 Ashford Dr, Upper Marlboro, MD 20772 | 2018-06-28 |
| 1659884849 | Clement Okehie | Home Health Aide | 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 | 2017-11-09 |
| 1497264766 | Fatu Barrie | Technician | 11112 Cranfod Drive, Upper Marlboro, MD 20772 | 2017-09-29 |
| 1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
| Find all providers in zip 20772 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145381 | Baltimore Ketamine Clinic | Clinic/Center | 1 Texas Station Ct Ste 320, Timonium, MD 21093-8290 | 2019-10-17 |
| 1265917017 | Hagerstown Infusion, LLC | Clinic/Center | 1829 Howell Rd Ste 2b, Hagerstown, MD 21740-6606 | 2018-09-27 |
| 1336629609 | Rhenew Infusion Services LLC | Clinic/Center | 166 Defense Hwy Ste L102, Annapolis, MD 21401-8925 | 2018-08-16 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1881104065 | Ally Infusion, LLC | Clinic/Center | 7651 Matapeake Bus Dr Ste 103, Brandywine, MD 20613 | 2017-10-02 |
| 1922537299 | Medvenous LLC | Clinic/Center | 4200 Forbes Blvd Ste 209, Lanham, MD 20706-4829 | 2017-06-08 |
| 1568400687 | Option Care Enterprises, Inc. | Clinic/Center | 9140 Guilford Rd, Suite K, Columbia, MD 21046-1811 | 2006-06-02 |
| 1811547540 | Revered Medical, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852-4119 | 2019-09-15 |
| 1215585336 | Wellness Infusions | Clinic/Center | 5430 Campbell Blvd Ste 111, White Marsh, MD 21162-5503 | 2019-09-02 |
| Find all providers with the same taxonomy | ||||
| City | UPPER MARLBORO |
| Zip Code | 20772 |
Please comment or provide details below to improve the information on CORAM HEALTHCARE CORPORATION OF GREATER DC.
| 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.