LUTHER BOYD SULLIVAN


Address: 317 Bryan Pl, Hagerstown, MD 21740-4534
Phone: 2022778261

LUTHER BOYD SULLIVAN (NPI# 1326522046) 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) 1326522046
Entity Type Individual
Full Name LUTHER BOYD SULLIVAN
Practice Address 317 Bryan Pl
Hagerstown
MD 21740-4534
Mailing Address 1010 Vermont Ave Nw
Washington
DC 20005-4902
Practice Telephone 2022778261
Mailing Telephone 8443814432
Enumeration Date 2018-09-19
Last Update Date 2018-09-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 372600000X Adult Companion DC Nursing Service Related Providers

Office Location

Street Address 317 BRYAN PL
City HAGERSTOWN
State MD
Zip Code 21740-4534

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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]

Providers in the same taxonomy and state

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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
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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
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Competitor

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City HAGERSTOWN
Zip Code 21740

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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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