COMMUNITY BEHAVIORAL HEALTH, LLC (NPI# 1053947416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053947416 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BEHAVIORAL HEALTH, LLC |
| Practice Address |
30519 Prince William St Apt 1 Princess Anne MD 21853-1246 |
| Mailing Address |
426 Dorchester Ave Cambridge MD 21613-2446 |
| Practice Telephone | 8442245264 |
| Mailing Telephone | 8442245264 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | LACY GILBERT (CREDENTIAL MANAGER) |
| Authorized Official Telephone | 8442245264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432198 | Community Behavioral Health, LLC | Community/Behavioral Health | 30519 Prince William St Apt 1, Princess Anne, MD 21853-1246 | 2020-03-19 |
| 1700323292 | Community Behavioral Health, LLC | Community/Behavioral Health | 10774 Hickory Ridge Road, Columbia, MD 21044 | 2017-01-23 |
| 1780127274 | Community Behavioral Health, LLC | Community/Behavioral Health | 30519 Prince William St, Princess Anne, MD 21853-1246 | 2016-12-01 |
| 1063873826 | Community Behavioral Health, LLC | Community/Behavioral Health | 817 Eastern Shore Dr, Salisbury, MD 21804-5943 | 2016-03-08 |
| 1700124831 | Community Behavioral Health, LLC | Community/Behavioral Health | 202 Coursevall Dr Ste 107, Centreville, MD 21617-1835 | 2013-01-24 |
| 1215903760 | Community Behavioral Health, LLC | Psychiatric Hospital | 135 N Pauline St, Memphis, TN 38105-4619 | 2006-02-24 |
| 1093329468 | Community Behavioral Health, LLC | Community/Behavioral Health | 107 E Market St, Snow Hill, MD 21863-1048 | 2020-09-03 |
| 1881208254 | Community Behavioral Health, LLC | Community/Behavioral Health | 106 Lee St, Salisbury, MD 21804-5938 | 2020-09-03 |
| 1922612308 | Community Behavioral Health, LLC | Community/Behavioral Health | 107 E Market St, Snow Hill, MD 21863-1048 | 2020-09-03 |
| 1740894120 | Community Behavioral Health, LLC | Community/Behavioral Health | 107 E Market St, Snow Hill, MD 21863-1048 | 2020-09-03 |
| Street Address |
30519 PRINCE WILLIAM ST APT 1 |
| City | PRINCESS ANNE |
| State | MD |
| Zip Code | 21853-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432198 | Community Behavioral Health, LLC | Community/Behavioral Health | 30519 Prince William St Apt 1, Princess Anne, MD 21853-1246 | 2020-03-19 |
| 1568085116 | Community Behavioral Health LLC | Community/Behavioral Health | 30519 Prince William St Apt 1, Princess Anne, MD 21853-1246 | 2020-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478013 | Zachary Castell | Counselor | 30665 Student Services Center Lane, Princess Anne, MD 21853 | 2019-10-14 |
| 1659798759 | Brittany Leigh Heffernan | Dentist | 12165 Elm Street, Princess Anne, MD 21853 | 2014-03-26 |
| 1750670519 | Earl Gene Grantz | Pharmacist | 1251 Brittingham Lane, Rite Aid Pharmacy, Princess Anne, MD 21853 | 2011-04-01 |
| 1356554018 | Somerset County Health Department | Public Health or Welfare | 11674 Somerset Avenue, Princess Anne, MD 21853 | 2007-05-08 |
| 1801008479 | Cedric Rashaw | Counselor | 1 Umes Backbone Road, Princess Anne, MD 21853 | 2007-05-04 |
| 1053408641 | Nancy V Lorsong | Nurse Practitioner | Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 | 2006-10-06 |
| 1154354744 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2006-07-08 |
| 1750855797 | Rebecca Coryell | Physician Assistant | 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 | 2019-01-13 |
| 1205331840 | Kristen Lea Hyland | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-03-26 |
| 1386145118 | Karishma Dilip Patel | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-02-27 |
| Find all providers in zip 21853 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1033735667 | Jil Home Health Services, LLC | Hospice Care, Community Based | 222 Marshall Ct, Havre De Grace, MD 21078-4103 | 2020-06-19 |
| 1386204402 | Amedisys Maryland LLC | Hospice Care, Community Based | 1400 Mercantile Ln Ste 228, Largo, MD 20774-5350 | 2019-06-20 |
| 1396216495 | First Choice Health Services LLC | Hospice Care, Community Based | 14802 Bowie Farm Ct, Bowie, MD 20721-6226 | 2018-12-16 |
| 1336653955 | A Nurse of Your Own & Co Recruitment Firm LLC | Hospice Care, Community Based | 6 Cedar Tree Ct Apt G, Cockeysville, MD 21030 | 2017-11-17 |
| 1194135749 | Talbot Hospice Foundation, Inc | Hospice Care, Community Based | 586 Cynwood Dr, Easton, MD 21601-3805 | 2014-05-05 |
| 1609068980 | Calvert Hospice Physician | Hospice Care, Community Based | 238 Merrimac Ct, Prince Frederick, MD 20678 | 2007-08-10 |
| 1447440730 | Gilchrist Hospice Care Physician | Hospice Care, Community Based | 11311 Mccormick Rd, Suite 350, Hunt Valley, MD 21031-1004 | 2007-08-01 |
| 1982894648 | Joseph Richey House, Inc | Hospice Care, Community Based | 838 N Eutaw St, Baltimore, MD 21201-4624 | 2007-07-30 |
| 1477753937 | St. Mary's Hospice Physician - Medicaid | Hospice Care, Community Based | 22699 Washington St., Leonardtown, MD 20650-0650 | 2007-07-23 |
| Find all providers with the same taxonomy | ||||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
Please comment or provide details below to improve the information on COMMUNITY BEHAVIORAL HEALTH, LLC.
| 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.