SUNDANCE REHABILITATION AGENCY, INC. (NPI# 1093760928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093760928 |
| Entity Type | Organization |
| Organization Name | SUNDANCE REHABILITATION AGENCY, INC. |
| Other Organization Name | SUNDANCE MARYLAND REHABILITATION AGENCY |
| Practice Address |
6336 Cedar Ln Columbia MD 21044-3897 |
| Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
| Practice Telephone | 4105313402 |
| Practice Fax Number | 4105313402 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | SUE GWYN (PRESIDENT DIRECTOR) |
| Authorized Official Telephone | 6176465593 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNDANCE REHABILITATION CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
N/A | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SunDance Maryland Rehabilitation Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124073101 | Sundance Rehabilitation Agency, Inc. | Clinic/Center | 728 Klumac Rd, Salisbury, NC 28144-5720 | 2006-05-24 |
| 1922361310 | Sundance Rehabilitation Agency, Inc. | Clinic/Center | 17 Hampton Rd, Exeter, NH 03833-4859 | 2012-06-20 |
| 1396986535 | Sundance Rehabilitation Agency, Inc. | Clinic/Center | 50 W Main St, Hopkinton, MA 01748-1672 | 2009-03-18 |
| 1205077443 | Sundance Rehabilitation Agency, Inc. | Clinic/Center | 50 W Main St, Hopkinton, MA 01748-1672 | 2009-03-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SUNDANCE REHABILITATION AGENCY, INC. | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Massachusetts Corporations | SUNDANCE REHABILITATION AGENCY, INC. | 101 E. State Street, Kennett Square, PA 19348 |
| Connecticut Business Registrations | SUNDANCE REHABILITATION AGENCY, INC. | 101 East State Street, Kennett Square, PA 19348 |
| Street Address |
6336 CEDAR LN |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043655814 | Brenda Barteck | Occupational Therapist | 6336 Cedar Ln, Columbia, MD 21044-3897 | 2013-05-07 |
| 1861837841 | Krista Cantafio | Occupational Therapy Assistant | 6336 Cedar Ln, Columbia, MD 21044-3897 | 2013-05-06 |
| 1336412386 | Harmony Hall Assisted Living | Assisted Living Facility | 6336 Cedar Ln, Columbia, MD 21044-3897 | 2012-02-21 |
| 1396908885 | Leah Graham Pitts | Speech-Language Pathologist | 6336 Cedar Ln, Apt. 150, Columbia, MD 21044-3897 | 2008-07-07 |
| 1235396029 | Kathy Bielaski | Physical Therapist | 6336 Cedar Ln, Columbia, MD 21044-3897 | 2008-05-20 |
| 1538326533 | Advantage Fitness & Rehabilitation LLC | Clinic/Center | 6336 Cedar Ln, Suite 150, Columbia, MD 21044-3897 | 2008-05-19 |
| 1205093135 | Bridget Marie Pettiford | Occupational Therapist | 6336 Cedar Ln, Columbia, MD 21044-3897 | 2008-05-19 |
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|---|---|---|---|---|
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| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1346635752 | Pro Chiropractic and Performance, LLC. | Clinic/Center | 1014 Leesburg Rd, Columbia, SC 29209-2131 | 2015-04-02 |
| 1275790867 | Lutheran Senior Services | Clinic/Center | 3710 Lenoir St, Columbia, MO 65201-5463 | 2008-05-21 |
| 1801991625 | Physiotherapy Associates Inc | Clinic/Center | 8885 Centre Park Dr, Columbia, MD 21045-2199 | 2006-09-14 |
| 1295784197 | Rehab Outreach, L.L.C. | Clinic/Center | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2006-05-08 |
| 1144280603 | Select Physical Therapy Holdings Inc | Clinic/Center | 200 N Keene St, Columbia, MO 65201-8102 | 2006-03-27 |
| 1154380160 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 1150 Columbia Ctr, Columbia, IL 62236-2559 | 2006-03-20 |
| 1679181713 | Lexington County Health Services District, Inc. | Clinic/Center | 103 Summit Centre Dr, Columbia, SC 29229-7613 | 2020-07-15 |
| 1174142699 | Columbia Vantage House Rehabilitation LLC | Clinic/Center | 5400 Vantage Point Rd, Columbia, MD 21044-2681 | 2020-04-14 |
| Find all providers in COLUMBIA | ||||
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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.