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).
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 |
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 Name | Type Code |
---|---|
Comfort Keepers 747 | Doing Business As Name - Organization |
Street Address |
117 VALLEY STREET SUITE A |
City | CUMBERLAND |
State | MD |
Zip Code | 21502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
Find all providers in zip 21502 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073149852 | Fatoumata Tamadou | Adult Companion | 4625 Horizon Cir Apt 102, Pikesville, MD 21208-6801 | 2020-03-12 |
1588203137 | Marcia Benfica | Adult Companion | 12119 Triple Crown Rd, North Potomac, MD 20878-3788 | 2019-12-30 |
1558909804 | Lawanda Michelle Thomas | Adult Companion | 4301 23rd Pkwy Apt 213, Temple Hills, MD 20748-4449 | 2019-12-17 |
1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
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 |
Find all providers with the same taxonomy |
City | CUMBERLAND |
Zip Code | 21502 |
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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.