WALDEN SIERRA CORP (NPI# 1326439894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326439894 |
| Entity Type | Organization |
| Organization Name | WALDEN SIERRA CORP |
| Practice Address |
30007 Business Center Dr Charlotte Hall MD 20622-3101 |
| Practice Telephone | 8662390826 |
| Mailing Telephone | 3019971300 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | CHARLES WOOD (CFO) |
| Authorized Official Telephone | 3019971300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
904527 | MD | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366869349 | Walden Sierra Corp | Community/Behavioral Health | 85 High St, Suite 4, Waldorf, MD 20602-2150 | 2014-03-27 |
| Street Address |
30007 BUSINESS CENTER DR |
| City | CHARLOTTE HALL |
| State | MD |
| Zip Code | 20622-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447220702 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 30007 Business Center Dr, Charlotte Hall, MD 20622 | 2006-01-26 |
| 1841829223 | Shannan N Eaddy | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2020-04-07 |
| 1023655388 | Carla Hall | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2019-12-05 |
| 1548724040 | Jemill Hester Kollore | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2019-01-29 |
| 1457815680 | Emery Myers | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2019-01-22 |
| 1568931996 | Elizabeth Morison Orff | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2018-11-14 |
| 1760995021 | Siyami Egbase Takha | Nurse Practitioner | 30007 Business Center Dr, Charlotte Hall, MD 20622 | 2017-11-08 |
| 1588174536 | James Matthew Willett | Social Worker | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-10-04 |
| 1750800769 | Laura Ebach | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-09-12 |
| 1154840015 | Paschaun Miller | Social Worker | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075917 | Academy Dental Care LLC | Dentist | 37601 Golden Beach Rd., Charlotte Hall, MD 20622 | 2019-07-22 |
| 1215405824 | Erin Elizabeth Wilkins | Counselor | 30007 Business Center Drive, Charlotte Hall, MD 20622 | 2018-11-13 |
| 1073913646 | Michelle Northam | Counselor | 29958 Killpeck Creek Ct, Charlotte Hall, MD 20622 | 2014-09-02 |
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| 1235481672 | Dana Kim | Dentist | 29795 Three Notch Rd., Charlotte Hall, MD 20622 | 2012-10-09 |
| 1376714121 | Pediatric Dentistry of Southern Maryland | Dentist | 29795 Three Notch Road, Charlotte Hall, MD 20622 | 2008-03-20 |
| 1407054349 | Shah Associates Md LLC | Internal Medicine | Charlotte Hall Medical Center, 37767 Market Dr. 2nd Floor, Charlotte Hall, MD 20622 | 2007-07-03 |
| 1124245329 | Board of Child Care of The United Methodist Church Inc | Community/Behavioral Health | 30049 Business Center Drive, Charlotte Hall, MD 20622 | 2007-04-19 |
| 1700977345 | Laura R Starks | Physical Therapist | 29770 Three Notch Road, Charlotte Hall, MD 20622 | 2006-09-27 |
| 1659462133 | Coordinated Movements Inc | Physical Therapist | 29770 Three Notch Road Suite 201, Charlotte Hall, MD 20622 | 2006-09-27 |
| Find all providers in zip 20622 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817075 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
| 1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
| 1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
| 1174132518 | Sabinas House LLC | Clinic/Center | 3103 Mareco Ave, Baltimore, MD 21213-1619 | 2020-07-30 |
| 1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
| 1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
| 1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
| 1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTE HALL |
| Zip Code | 20622 |
Please comment or provide details below to improve the information on WALDEN SIERRA CORP.
| 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.