JOSEPH D. BRANDENBURG CENTER (NPI# 1336134238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336134238 |
| Entity Type | Organization |
| Organization Name | JOSEPH D. BRANDENBURG CENTER |
| Practice Address |
10100 Country Club Road Cumberland MD 21501-1722 |
| Practice Telephone | 3017772264 |
| Practice Fax Number | 3017772399 |
| Mailing Telephone | 3017772264 |
| Mailing Fax Number | 3017772399 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CAROLYN KAY BROWN (DIRECTOR) |
| Authorized Official Telephone | 3017772264 |
| Authorized Official Credential | M.B.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 01-010 | MD | Residential Treatment Facilities |
| Street Address |
10100 COUNTRY CLUB ROAD |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21501-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144644626 | Lanette J Sipple | Pharmacist | 12500 Willowbroook Road, Pharmacy Department, Cumberland, MD 21501 | 2014-02-05 |
| 1790107514 | Shannon Grimsley | Counselor | 10102 Country Club Road, Cumberland, MD 21501 | 2014-01-14 |
| 1104842566 | Melvin R Gonzaga | Anesthesiology | 957 National Hwy, Ste 3, Attn: Melvin Gonzaga, Lavale, MD 21501-0929 | 2006-07-15 |
| 1215969647 | James Michael Isaac | Occupational Therapist | 10102 Country Club Rd Se, Cumberland, MD 21501-1722 | 2006-07-07 |
| 1568630523 | Rupert Winston Bosley | Dentist | 12503 Willowbrook Rd. Se, Cumberland, MD 21501-1745 | 2008-02-13 |
| 1093996746 | Jeremy Alan Herschler | Psychiatry & Neurology | 12500 Willowbrook Rd Se, Cumberland, MD 21501-1745 | 2007-11-23 |
| 1003035460 | Sue Vauthier Raver | Pediatrics | 12501 Willowbrook Rd, Allegany County Health Department, Cumberland, MD 21501-1745 | 2007-04-24 |
| 1922092337 | Robert Mathis Johnson | Dentist | 12503 Willowbrook Rd. Se, Cumberland, MD 21501-1745 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396107 | Medacute Care LLC | Internal Medicine | 313 Skyview Dr, Cumberland, MD 21502-1929 | 2020-11-03 |
| 1215536933 | Joi Watts | Technician | 16 Potomac St, Cumberland, MD 21502-4754 | 2020-10-23 |
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1346855335 | Kalee Kareemo | Physical Therapist | 1764 Mendon Rd., Suite 6, Cumberland, RI 02864 | 2020-09-15 |
| 1699380154 | Potomac Case Management Services, Inc. | Case Management | 29 Baltimore St, Cumberland, MD 21502-3024 | 2020-09-11 |
| 1629682786 | Asi Health Inc. | Clinic/Center | 217 Glenn St Ste 400, Cumberland, MD 21502-2560 | 2020-09-04 |
| 1437769106 | Charlene Gaughan | Case Manager/Care Coordinator | 509 Rose Hill Ave, Cumberland, MD 21502-3333 | 2020-08-06 |
| 1851900823 | Rachael Lynn Johnson | Occupational Therapist | 309 Willowbrook Rd Ste 2, Cumberland, MD 21502-2500 | 2020-07-27 |
| 1285243311 | Sara Lafreniere | Physician Assistant | 18 Millers Brook Dr, Cumberland, RI 02864-6132 | 2020-07-24 |
| 1730797416 | Ascensions Wellness LLC | Nurse Practitioner | 618 N Mechanic St, Cumberland, MD 21502-2113 | 2020-07-17 |
| Find all providers in CUMBERLAND | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518570605 | Bright Healthcare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9604 Byward Blvd, Bowie, MD 20721-1893 | 2020-08-28 |
| 1770108268 | Sowbah Healthcare Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 625 Sheridan St Apt 33, Hyattsville, MD 20783-3214 | 2020-06-10 |
| 1558981548 | Gabby Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11811 Point Way, Bowie, MD 20720-3419 | 2020-04-20 |
| 1285253211 | Blessing Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12008 Maycheck Ln, Bowie, MD 20715-1551 | 2020-04-09 |
| 1225660970 | Steadfast Care Services,llc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5303 Kingsbrook Dr, Frederick, MD 21703-2806 | 2020-02-11 |
| 1144862186 | Surehealth Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2800 Klein Ct, Crofton, MD 21114-3118 | 2019-10-10 |
| 1568017358 | Beland Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12620 Hillmeade Station Dr, Bowie, MD 20720-3311 | 2019-08-07 |
| 1477108785 | Panatechs LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14115 Porringer Ct, Burtonsville, MD 20866-2062 | 2019-08-04 |
| 1619532140 | Arising Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12808 Penny Ln, Silver Spring, MD 20904-7111 | 2019-05-09 |
| 1619533155 | Blessed Assurance Healthcare | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9040 Stebbing Way Apt K, Laurel, MD 20723-5947 | 2019-05-09 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21501 |
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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.