MOUNTAIN CARE LLC


Address: 117 Valley Street, Suite A, Cumberland, MD 21502
Phone: 2403627074

MOUNTAIN CARE LLC (NPI# 1265609796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265609796
Entity Type Organization
Organization Name MOUNTAIN CARE LLC
Other Organization Name COMFORT KEEPERS 747
Practice Address 117 Valley Street
Suite A
Cumberland
MD 21502
Practice Telephone 2403627074
Mailing Telephone 2403627074
Enumeration Date 2008-05-14
Last Update Date 2008-05-14
Authorized Official Name MR. WALTER JOHN MCMULLEN (OWNER)
Authorized Official Telephone 2403627074
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 376J00000X Homemaker Nursing Service Related Providers
Y 372600000X Adult Companion Nursing Service Related Providers

Other Provider/Organization Names

Other Name Type Code
Comfort Keepers 747 Doing Business As Name - Organization

Office Location

Street Address 117 VALLEY STREET
SUITE A
City CUMBERLAND
State MD
Zip Code 21502

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1760984447 Christine T. Haines Social Worker 907 Seton Drive, Cumberland, MD 21502 2018-03-08
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Taxonomy Information

Taxonomy Code 372600000X
Grouping Nursing Service Related Providers
Classification Adult Companion

Taxonomy Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Notes: [7/1/2003: new]

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1558909804 Lawanda Michelle Thomas Adult Companion 4301 23rd Pkwy Apt 213, Temple Hills, MD 20748-4449 2019-12-17
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1588217822 Abundant Care Services Adult Companion 1045 Taylor Ave Ste 15, Towson, MD 21286-8328 2019-07-16
1538628169 Bianca Thompson Adult Companion 7476 Catterick Ct, Baltimore, MD 21244-5600 2019-03-13
1710442876 Fatuma Kedir Ahmed Adult Companion 9743 Softwater Way, Columbia, MD 21046-1815 2019-02-04
1174095269 Jomesa De'lice Blair Adult Companion 315 Mountain Ridge Ct Apt C, Glen Burnie, MD 21061-1343 2018-12-30
1609346469 Adewale Adeniran Adenuga Adult Companion 9763 Good Luck Rd Apt 8, Lanham, MD 20706-3330 2018-12-04
1326522046 Luther Boyd Sullivan Adult Companion 317 Bryan Pl, Hagerstown, MD 21740-4534 2018-09-19
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Competitor

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City CUMBERLAND
Zip Code 21502

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Dataset Information

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.

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