MALCOM GROW (NPI# 1144402975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144402975 |
| Entity Type | Organization |
| Organization Name | MALCOM GROW |
| Practice Address |
711 Romford Dr Hyattsville MD 20785-5940 |
| Mailing Address |
503 Spectator Aveune Landover MD 20785 |
| Practice Telephone | 3018085466 |
| Mailing Telephone | 3018085466 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | MRS. TRINA LYNN TAYOOR (SOCIAL WORKER) |
| Authorized Official Telephone | 3018085466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | 612879 | MD | Hospital Units |
| Street Address |
711 ROMFORD DR |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20785-5940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908067 | Alaina Paulette Ford-reese | Counselor | 95 Office Park 1895 Brightseat, Landover, MD 20785 | 2020-07-02 |
| 1578186912 | Afshan Rehman | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Family Health and Wellness Center, Cheverly, MD 20785 | 2020-05-20 |
| 1235751710 | Anila Rani | Student in an Organized Health Care Education/Training Program | 3001 Hospital Dr, 5th Floor, University of Maryland Prince George Hospital Center De, Cheverly, MD 20785 | 2020-05-07 |
| 1568083715 | Sonia Haider | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane 3rd Floor, Cheverly, MD 20785 | 2020-04-29 |
| 1851938138 | The Foundation Schools, Inc. | Local Education Agency (LEA) | 855 Brightseat Road, Suite 855, Landover, MD 20785 | 2019-12-05 |
| 1104480268 | Sohaib Siddiqui | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Cheverly, MD 20785 | 2019-04-24 |
| 1386115558 | Tameka Drummond | Speech-Language Pathologist | 1401 Nalley Terrace, Hyattsville, MD 20785 | 2018-12-16 |
| 1427528223 | Tambra M Johnson | Occupational Therapist | [email protected], 2300 Belleview Ave, Cheverly, Md 20785, Cheverly, MD 20785 | 2018-12-05 |
| 1417427097 | Bukola B Muritala | Home Health Aide | 6313 Landover Rd Apt 301, Cheverly, MD 20785 | 2018-11-27 |
| 1073091104 | Ursula Cerro | Counselor | 903 Brightseat Road, Landover, MD 20785 | 2018-07-31 |
| Find all providers in zip 20785 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518435783 | Victoria's Place | Rehabilitation, Substance Use Disorder Unit | 1611 Kirkwood Rd, Baltimore, MD 21207-4937 | 2018-11-06 |
| 1548736564 | Allen's House | Rehabilitation, Substance Use Disorder Unit | 219 Arundel Rd W, Brooklyn Park, MD 21225-2622 | 2018-10-17 |
| 1326521089 | Michael's Loft Residential Program | Rehabilitation, Substance Use Disorder Unit | 743 Old Riverside Rd, Brooklyn Park, MD 21225-2660 | 2018-09-10 |
| 1427539311 | Hilda's Place Behavioral Health Services | Rehabilitation, Substance Use Disorder Unit | 2480 Roxbury Mills Rd, Glenwood, MD 21738-9718 | 2018-08-28 |
| 1639686728 | The Haven At College | Rehabilitation, Substance Use Disorder Unit | 4321 Hartwick Rd Ste 210, College Park, MD 20740-3210 | 2018-01-10 |
| 1831383454 | Veterans Administeration | Rehabilitation, Substance Use Disorder Unit | 314 Ave D, Perry Point, MD 21902 | 2007-08-28 |
| 1225113061 | Addictions Recovery Inc | Rehabilitation, Substance Use Disorder Unit | 26 Marbury Rd, Crownsville, MD 21032 | 2006-10-26 |
| 1528049384 | Valley Bridge House, Inc. | Rehabilitation, Substance Use Disorder Unit | 28 S Broadway, Baltimore, MD 21231-1712 | 2005-11-09 |
| 1841757127 | Unlimited Bounds Human Services LLC | Rehabilitation, Substance Use Disorder Unit | 11 E Mount Royal Ave Ste 2a, Baltimore, MD 21202-5513 | 2019-02-22 |
| 1134635253 | Adventist Healthcare, Inc. | Rehabilitation, Substance Use Disorder Unit | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2017-12-27 |
| Find all providers with the same taxonomy | ||||
| City | HYATTSVILLE |
| Zip Code | 20785 |
Please comment or provide details below to improve the information on MALCOM GROW.
| 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.