MONTGOMERY WELLNESS HUB LLC (NPI# 1285266262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285266262 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY WELLNESS HUB LLC |
| Practice Address |
951 Russell Ave Ste D Gaithersburg MD 20879-3283 |
| Practice Telephone | 3014047336 |
| Mailing Telephone | 3014047336 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | MOHAMMED KOLAWOLE IBRAHIM (CEO) |
| Authorized Official Telephone | 3014047336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
951 RUSSELL AVE STE D |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20879-3283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565688 | Mark Schulze | Behavior Technician | 20620 Prathertown Rd., Gaithersburg, MD 20879 | 2020-10-12 |
| 1497242705 | Ajena Callaway | Occupational Therapist | 354 A Christopher Avenue, Gaithersburg, MD 20879 | 2018-04-23 |
| 1952702789 | Alan Huang | Physical Therapist | 18603 Tribble Way, Gaithersburg, MD 20879 | 2014-09-11 |
| 1225452089 | Benefitcare Inc. | Home Health | 18211d Flower Hill Way, Gaithersburg, MD 20879 | 2014-02-13 |
| 1578832739 | Thomas Yoon | Dentist | 20219 Goshen Rd, Gaithersburg, MD 20879 | 2011-12-17 |
| 1962637090 | Team Care, LLC | Non-emergency Medical Transport (VAN) | 8041 Cessna Avenue, Suite 200, Gaithersburg, MD 20879 | 2009-05-19 |
| 1730327412 | Maryland Home Health, LLC | Home Health | 2 Professional Drive, Suite 241, Gaithersburg, MD 20879 | 2009-02-03 |
| 1528223740 | Behzad Mirdamadi | Dentist | 18218 Flower Hill Way, Dental Suite Habibi and Mirdamadi, D.d.s., P.a., Gaithersburg, MD 20879 | 2008-07-28 |
| 1265696322 | Nargess Mirhakkak Biparva | Dentist | 941 B Russell Ave, Gaithersburg, MD 20879 | 2008-07-17 |
| 1891818639 | Carolyn June Figard | Counselor | 933 Russess Ave., Suite D, Gaithersburg, MD 20879 | 2007-04-09 |
| Find all providers in zip 20879 | ||||
| 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 |
| 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 |
| 1265943781 | Alta Healtcare Services | Community/Behavioral Health | 101 Lakeforest Blvd Ste 250, Gaithersburg, MD 20877-2633 | 2017-10-24 |
| 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 | 20879 |
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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.