ALTA HEALTHCARE SERVICES, INC. (NPI# 1144877549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144877549 |
| Entity Type | Organization |
| Organization Name | ALTA HEALTHCARE SERVICES, INC. |
| Practice Address |
101 Lakeforest Blvd Ste 250 Gaithersburg MD 20877-2633 |
| Practice Telephone | 2408019818 |
| Mailing Telephone | 2408019818 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | HANNAH DIBONGE (ADMINISTRATOR) |
| Authorized Official Telephone | 2405061728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235601394 | Alta Healthcare Services, Inc. | Day Training, Developmentally Disabled Services | 101 Lakeforest Blvd Ste 250, Gaithersburg, MD 20877-2633 | 2018-12-28 |
| Street Address |
101 LAKEFOREST BLVD STE 250 |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265943781 | Alta Healtcare Services | Community/Behavioral Health | 101 Lakeforest Blvd Ste 250, Gaithersburg, MD 20877-2633 | 2017-10-24 |
| 1720623572 | Alta Healthcare Services LLC | Home Health | 101 Lakeforest Blvd Ste 250, Gaithersburg, MD 20877-2633 | 2019-11-14 |
| 1235601394 | Alta Healthcare Services, Inc. | Day Training, Developmentally Disabled Services | 101 Lakeforest Blvd Ste 250, Gaithersburg, MD 20877-2633 | 2018-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948642 | Apple Tree Wellness | Clinic/Center | 119 Teachers Way Apt 3044, Gaithersburg, MD 20877-3176 | 2020-09-29 |
| 1871057000 | Creative Solutions Counseling. LLC | Clinic/Center | 316 Main St Ste 200, Gaithersburg, MD 20878-6551 | 2019-01-22 |
| 1255455192 | Guide Program, Inc. | Clinic/Center | 18321 Lost Knife Cir, 101, Gaithersburg, MD 20886-0305 | 2007-03-18 |
| 1407456098 | Hanei Health Solutions, LLC | Clinic/Center | 9037 Shady Grove Ct, Gaithersburg, MD 20877-1301 | 2020-10-31 |
| 1881218816 | Family Services, Inc. | Clinic/Center | 16220 Frederick Rd Ste 502, Gaithersburg, MD 20877-4022 | 2020-06-05 |
| 1154943488 | Mental Health Matters | Clinic/Center | 9711 Washingtonian Blvd Ste 550, Gaithersburg, MD 20878-5789 | 2020-05-08 |
| 1912526575 | Another Look At Healing, LLC | Clinic/Center | 849 Quince Orchard Blvd, Suite I, Gaithersburg, MD 20878-2087 | 2020-04-14 |
| 1043839749 | Tamara's Clouds Inc | Clinic/Center | 9811 Lake Shore Dr, Gaithersburg, MD 20886-4266 | 2020-04-13 |
| 1689214694 | Wright Behavioral Health Consultants LLC | Clinic/Center | 845 Quince Orchard Blvd Ste Q, Gaithersburg, MD 20878-1676 | 2020-01-08 |
| 1386201721 | Washington Psychological Wellness LLC | Clinic/Center | 845 Quince Orchard Blvd Ste F, Gaithersburg, MD 20878-1676 | 2019-05-21 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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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.