CONCERTED CARE GROUP MANAGEMENT LLC (NPI# 1972033470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972033470 |
| Entity Type | Organization |
| Organization Name | CONCERTED CARE GROUP MANAGEMENT LLC |
| Other Organization Name | CCG MANAGEMENT, LLC |
| Practice Address |
416 E 26th St Baltimore MD 21218-4703 |
| Mailing Address |
428 E 25th St Baltimore MD 21218-5304 |
| Practice Telephone | 4106170142 |
| Practice Fax Number | 4438736975 |
| Mailing Telephone | 4106170142 |
| Mailing Fax Number | 4438736975 |
| Enumeration Date | 2017-06-16 |
| Last Update Date | 2017-06-16 |
| Authorized Official Name | BARBARA WAHL (COO) |
| Authorized Official Telephone | 6672393205 |
| Authorized Official Credential | RN, MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 177F00000X | Lodging | Other Service Providers |
| Other Name | Type Code |
|---|---|
| CCG MANAGEMENT, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154851657 | Concerted Care Group Management LLC | Lodging | 1034 Brentwood Ave, Baltimore, MD 21202-4203 | 2017-06-16 |
| 1063942563 | Concerted Care Group Management LLC | Lodging | 420 E Lorraine Ave, Baltimore, MD 21218-4712 | 2017-06-16 |
| 1083143804 | Concerted Care Group Management LLC | Lodging | 2641 Barclay St, Baltimore, MD 21218-4711 | 2017-06-06 |
| 1215466040 | Concerted Care Group Management LLC | Lodging | 459 E Preston St, Baltimore, MD 21202-3922 | 2017-06-06 |
| 1790215200 | Concerted Care Group Management LLC | Lodging | 412 E 25th St, Baltimore, MD 21218-5304 | 2017-06-16 |
| Street Address |
416 E 26TH ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154851657 | Concerted Care Group Management LLC | Lodging | 1034 Brentwood Ave, Baltimore, MD 21202-4203 | 2017-06-16 |
| 1063942563 | Concerted Care Group Management LLC | Lodging | 420 E Lorraine Ave, Baltimore, MD 21218-4712 | 2017-06-16 |
| 1083143804 | Concerted Care Group Management LLC | Lodging | 2641 Barclay St, Baltimore, MD 21218-4711 | 2017-06-06 |
| 1215466040 | Concerted Care Group Management LLC | Lodging | 459 E Preston St, Baltimore, MD 21202-3922 | 2017-06-06 |
| 1790215200 | Concerted Care Group Management LLC | Lodging | 412 E 25th St, Baltimore, MD 21218-5304 | 2017-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952873 | Homes4hope LLC | Lodging | 326 N Division St, Salisbury, MD 21801-4261 | 2020-08-10 |
| 1881172914 | Ladders To Leaders, Ltd | Lodging | 644 Frederick St, Hagerstown, MD 21740-6815 | 2018-07-31 |
| 1033374814 | Trinity Resources Group, Inc. | Lodging | 2470 Longstone Ln Ste G, Marriottsville, MD 21104-1512 | 2008-07-22 |
| 1093353252 | Recovery Source LLC | Lodging | 115 N Main St, North East, MD 21901-3502 | 2019-12-18 |
| 1801371224 | The Ranch, Inc | Lodging | 7902 Fingerboard Rd, Frederick, MD 21704-7629 | 2018-10-02 |
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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.