DISTINCTIVE HOME CARE (NPI# 1356761449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356761449 |
| Entity Type | Organization |
| Organization Name | DISTINCTIVE HOME CARE |
| Other Organization Name | DISTINCTIVE HEALTH CARE |
| Practice Address |
9500 Arena Dr Suite 105 Largo MD 20774-3701 |
| Practice Telephone | 3019252900 |
| Practice Fax Number | 3019252902 |
| Mailing Telephone | 3019252900 |
| Mailing Fax Number | 3019252902 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |
| Authorized Official Name | MS. CHANTE NICOLE DAVIS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3019252900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | R2323 | MD | Agencies |
| Other Name | Type Code |
|---|---|
| Distinctive Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477091775 | Distinctive Home Care | Home Health | 2006 Tulson Lane, A100, Bowie, MD 20720-5633 | 2017-02-07 |
| 1689109548 | Distinctive Home Care | Home Health | 2006 Tulson Ln, Bowie, MD 20721-1862 | 2017-04-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DISTINCTIVE HOME CARE, INC. | 2006 Tulson Ln, Ste A100, Bowie, MD 20721-1862 |
| Street Address |
9500 ARENA DR SUITE 105 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104019942 | Harvey Darnell Hamm | Social Worker | 9500 Arena Dr, 460-e, Largo, MD 20774-3701 | 2007-08-24 |
| 1134656747 | Dennis Gates, Mental Health LLC | Psychologist | 9500 Arena Dr, Suite 432, Largo, MD 20774-3701 | 2017-05-12 |
| 1073947032 | Tom Dennis Gates II | Nurse Practitioner | 9500 Arena Dr, Ste 432, Largo, MD 20774-3716 | 2013-08-27 |
| 1770880577 | Kristian Owens | Social Worker | 9500 Arena Dr, Suite 460-c, Largo, MD 20774-3755 | 2011-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245887116 | Jennifer Chinyere Madubuko | Home Health | 1300 Mercantile Ln Ste 138d, Largo, MD 20774-5327 | 2019-08-24 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1063953818 | Millennium Ventures Inc | Home Health | 9500 Arena Drive, Suite 440e, Largo, MD 20774 | 2017-03-13 |
| 1427595446 | D A Care Solution | Home Health | 3900 Belle Oak Blvd, Suite 109, Largo, FL 33771-2758 | 2017-01-28 |
| 1609323617 | K&s Unlimited Care Inc | Home Health | 801 W Bay Dr Ste 318, Largo, FL 33770-3264 | 2016-09-07 |
| 1578959284 | Dependable Reliable Service | Home Health | 705 Castlewood Dr, Largo, MD 20774-2212 | 2015-04-09 |
| 1265799456 | Kovais Medical Services | Home Health | 8811 Lottsford Rd, #335, Largo, MD 20774-4836 | 2012-04-12 |
| 1528378528 | Highly Blessed Healthcare Services | Home Health | 9251 Lottsford Rd Apt 3d, Largo, MD 20774-3769 | 2010-10-09 |
| 1326371980 | Nurse To You Home Health Care, Inc. | Home Health | 11621 Seminole Blvd, Largo, FL 33778-3207 | 2009-09-15 |
| 1780820910 | Peace, Inc | Home Health | 7411 114th Ave Ste 303, Largo, FL 33773-5108 | 2008-12-17 |
| Find all providers in LARGO | ||||
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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.