GEMINI HEALTH HOLDINGS LLC (NPI# 1134755960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134755960 |
Entity Type | Organization |
Organization Name | GEMINI HEALTH HOLDINGS LLC |
Practice Address |
6816 Deerpath Rd Suite 201 and 107 Elkridge MD 21075 |
Mailing Address |
2702 Back Acre Cir Ste 290b Mount Airy MD 21771-7769 |
Practice Telephone | 3017038767 |
Practice Fax Number | 3017038886 |
Mailing Telephone | 3017038767 |
Mailing Fax Number | 3017038886 |
Enumeration Date | 2020-03-12 |
Last Update Date | 2020-03-12 |
Authorized Official Name | STACI POWELL (BILLING MANAGER) |
Authorized Official Telephone | 3017038767 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities | ||
N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518599679 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-02-06 |
1487280087 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-03-16 |
1487280152 | Gemini Health Holdings LLC | Psychologist | 6816 Deerpath Rd, Suite 201 and 107, Elkridge, MD 21075 | 2020-03-13 |
1144855974 | Gemini Health Holdings LLC | Clinic/Center | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-03-12 |
1649800020 | Gemini Health Holdings LLC | Psychologist | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2020-01-24 |
Street Address |
6816 DEERPATH RD SUITE 201 AND 107 |
City | ELKRIDGE |
State | MD |
Zip Code | 21075 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588182240 | Pediatric Gastroenterology Specialists of Maryland LLC | Pediatrics | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2017-09-01 |
1487280152 | Gemini Health Holdings LLC | Psychologist | 6816 Deerpath Rd, Suite 201 and 107, Elkridge, MD 21075 | 2020-03-13 |
1467087023 | Angela Keck | Counselor | 6816 Deerpath Rd, Elkridge, MD 21075-7392 | 2020-03-04 |
1649800020 | Gemini Health Holdings LLC | Psychologist | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2020-01-24 |
1487169769 | Elkridge Asc LLC | Clinic/Center | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2017-12-07 |
1285149567 | Gemini Asc Elkridge LLC | Clinic/Center | 6816 Deerpath Rd, Elkridge, MD 21075-6200 | 2017-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174043640 | Howard County Health Department | Clinic/Center | 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 | 2017-06-26 |
1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
1063762417 | Mid-atlantic Allergy & Asthma | Clinic/Center | 8182 Lark Brown Road, Elkridge, MD 21075 | 2012-09-13 |
1447522925 | Alberta Osei Agyeman | Social Worker | 7274 Elkridge Crossing Way, Elkridge, MD 21075 | 2012-01-31 |
1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
1710298112 | Emily Jeanne Marti | Nurse Practitioner | 6095 Marshalee Drive, Elkridge, MD 21075 | 2010-06-30 |
1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
1225250707 | Orthosport Physical Therapy of Md | Clinic/Center | 8174 Lark Brown Road, Suite 101, Elkridge, MD 21075 | 2007-05-03 |
1164643086 | Linda M. Jones-laper | Dentist | 6865 Deerpath Rd Suite 100, Elkridge, MD 21075 | 2007-05-01 |
1487756813 | Robert E Skillman Jr. | Dentist | 5921 Old Washington Rd, Elkridge, MD 21075 | 2006-09-05 |
Find all providers in zip 21075 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881947968 | Nomadd Health Services | Clinic/Center | 6755 Business Pkwy, Suite 302, Elkridge, MD 21075-6753 | 2012-10-26 |
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1043817075 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 | 2020-10-02 |
1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
1174132518 | Sabinas House LLC | Clinic/Center | 3103 Mareco Ave, Baltimore, MD 21213-1619 | 2020-07-30 |
1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
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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.