ALTA HEALTCARE SERVICES (NPI# 1265943781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265943781 |
| Entity Type | Organization |
| Organization Name | ALTA HEALTCARE SERVICES |
| Practice Address |
101 Lakeforest Blvd Ste 250 Gaithersburg MD 20877-2633 |
| Mailing Address |
21506 Manor View Cir Germantown MD 20876-5924 |
| Practice Telephone | 2405061728 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | HANNAH DIBONGE (OWNER) |
| Authorized Official Telephone | 2405061728 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MH-2371 | MD | Agencies |
| Street Address |
101 LAKEFOREST BLVD STE 250 |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623572 | Alta Healthcare Services LLC | Home Health | 101 Lakeforest Blvd Ste 250, Gaithersburg, MD 20877-2633 | 2019-11-14 |
| 1144877549 | Alta Healthcare Services, Inc. | Clinic/Center | 101 Lakeforest Blvd Ste 250, Gaithersburg, MD 20877-2633 | 2019-08-20 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832841 | Carpenter Counseling, LLC | Community/Behavioral Health | 12121 Pueblo Rd, Gaithersburg, MD 20878-2065 | 2020-08-24 |
| 1285266262 | Montgomery Wellness Hub LLC | Community/Behavioral Health | 951 Russell Ave Ste D, Gaithersburg, MD 20879-3283 | 2020-02-07 |
| 1568009439 | Family Services, Inc. | Community/Behavioral Health | 630 E Diamond Ave, Gaithersburg, MD 20877-5322 | 2019-12-10 |
| 1821579582 | Maryland Center for Familiy Guidance | Community/Behavioral Health | 158 Barnsfield Ct, Gaithersburg, MD 20878-2720 | 2018-08-22 |
| 1366948333 | Maximum Community Support Services Inc | Community/Behavioral Health | 963 Russell Ave Ste D, Gaithersburg, MD 20879-3287 | 2018-03-30 |
| 1295194371 | Family Services, Inc | Community/Behavioral Health | 630 East Diamond Ave, Gaithersburg, MD 20877-5321 | 2016-02-17 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1033509591 | Chinese Culture and Community Service Center, Inc. | Community/Behavioral Health | 9318 Gaither Rd Ste 205, Gaithersburg, MD 20877-1409 | 2015-02-04 |
| 1659626356 | Family Services, Inc | Community/Behavioral Health | 640 E. Diamond Ave, Suite B, Gaithersburg, MD 20877-5321 | 2012-07-18 |
| 1043511173 | Samorajczyk Psychological Services Pa | Community/Behavioral Health | 19205 Seneca Ridge Ct, Gaithersburg, MD 20886-3921 | 2010-11-05 |
| 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.