GIFTIE MEDICAL SERVICES (NPI# 1407357288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407357288 |
| Entity Type | Organization |
| Organization Name | GIFTIE MEDICAL SERVICES |
| Practice Address |
23304 Rainbow Arch Dr Clarksburg MD 20871-4449 |
| Practice Telephone | 2406055582 |
| Practice Fax Number | 3019721768 |
| Mailing Telephone | 2406055582 |
| Mailing Fax Number | 3019721768 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MS. MAUREEN BEJANGA (RN) |
| Authorized Official Telephone | 2406055582 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | R4162 | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BUSINESS CODE # | 621610 | 01 |
| MD | TAX ID # | W17252651 | 01 |
| Street Address |
23304 RAINBOW ARCH DR |
| City | CLARKSBURG |
| State | MD |
| Zip Code | 20871-4449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124520515 | Andrew Kingue Dibonge | Home Health Aide | 23304 Rainbow Arch Dr, Clarksburg, MD 20871-4449 | 2018-03-01 |
| 1740782358 | Maureen Bejanga | Registered Nurse | 23304 Rainbow Arch Dr, Clarksburg, MD 20871-4449 | 2018-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366097578 | Shelah Maul | Speech-Language Pathologist | Clarksburg Elementary School, 13530 Redgrave Place, Clarksburg, MD 20871 | 2019-08-05 |
| 1013401769 | Thin Phyu Bur | Social Worker | 13446 Dutrow Dr, Clarksburg, MD 20871 | 2018-06-17 |
| 1750754925 | Milankumar Maheshbhai Patel | Physical Therapist | 23923 Basil Park Circle, Clarksburg, MD 20871 | 2015-11-09 |
| 1093142796 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 22700 Sweet Shrub Drive, Clarksburg, MD 20871 | 2013-09-26 |
| 1932493046 | Chidinma Ebele | Case Management | 23447 Tailor Shop Pl, Clarksburg, MD 20871 | 2011-06-06 |
| 1396036455 | Reliance Home Care | Home Health | 12615 Blue Sky Drive, Clarksburg, MD 20871 | 2011-04-25 |
| 1063721629 | Clarksburg Medical Center Inc | Ophthalmology | 22616 Gateway Center Dr Ste 600a, Clarksburg, MD 20871 | 2010-09-30 |
| 1548440787 | Patricia J. Tucker | Social Worker | 21925 Frederick Rd, Clarksburg, MD 20871 | 2007-11-05 |
| 1316439078 | Clarksburg Dermatology and Skincare LLC | Nurse Practitioner | 23202 Brewers Tavern Way, Clarksburg, MD 20871 | 2018-05-30 |
| 1487954509 | Sean Park | Pharmacist | 7025 Brookville Rd, Chevy Chase, MD 20871 | 2010-10-22 |
| Find all providers in zip 20871 | ||||
| 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 |
|---|---|---|---|---|
| 1003427691 | Destiny Health Care Services | Home Health | 23030 Birch Mead Rd, Clarksburg, MD 20871-4495 | 2020-08-16 |
| 1023638061 | Gateway Home Care, LLC | Home Health | 2673 Davisson Run Rd, Clarksburg, WV 26301-6838 | 2020-04-20 |
| 1134572290 | Reliance Nursing Services LLC | Home Health | 22942 Spicebush Dr, Clarksburg, MD 20871-8406 | 2016-07-13 |
| 1396036455 | Reliance Home Care | Home Health | 12615 Blue Sky Drive, Clarksburg, MD 20871 | 2011-04-25 |
| 1679800569 | Devotion Home Care & Staffing Agency LLC | Home Health | 23217 Murdock Ridge Way, Clarksburg, MD 20871-4425 | 2009-11-12 |
| 1235328162 | Doc's Nursing Jobs, Inc | Home Health | 23322 Rainbow Arch Dr, Clarksburg, MD 20871-4439 | 2007-10-16 |
| 1851906937 | Wvuhs Home Care, LLC | Home Health | 2673 Davisson Run Rd, Clarksburg, WV 26301-6838 | 2020-09-15 |
| 1396728192 | United Hospital Center, Inc | Home Health | 300 Davisson Run Rd, Clarksburg, WV 26301-9304 | 2005-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356232 | Compassionate Hearts Health Care, LLC | Home Health | 12806 Glasgow Ct, Fort Washington, MD 20744-7034 | 2020-11-06 |
| 1396345302 | Jfm Optima Care, LLC | Home Health | 14653 Argos Pl, Upper Marlboro, MD 20774-8612 | 2020-10-28 |
| 1245839877 | Adaptive Life and Wellness LLC | Home Health | 14204 Marlborough Dr, Upper Marlboro, MD 20772-2813 | 2020-10-24 |
| 1598364036 | Strong Tower Home Health Services, LLC | Home Health | 24218 Arena Stage Ct, Damascus, MD 20872-2189 | 2020-10-24 |
| 1225637176 | Hoping Heart Home Healthcare | Home Health | 7967 Pipers Path, Glen Burnie, MD 21061-6239 | 2020-10-21 |
| 1548869696 | Albeniz Care Agency, LLC | Home Health | 2002 Tuscarora Valley Ct, Frederick, MD 21702-7900 | 2020-10-20 |
| 1548868300 | Universal Home Assistance LLC | Home Health | 6215 64th Ave Apt 4, Riverdale, MD 20737-2943 | 2020-10-14 |
| 1790383594 | Elite Caregivers Nursing Agency LLC | Home Health | 6821 Purple Lilac Ln, Clinton, MD 20735-4087 | 2020-10-14 |
| 1376141267 | Goshen Health Care Services LLC | Home Health | 15305 Beaufort Pl, Silver Spring, MD 20905-4203 | 2020-10-13 |
| 1083212153 | Dependable Care | Home Health | 1114 Muskogee Ln, Lusby, MD 20657-3529 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 20871 |
Please comment or provide details below to improve the information on GIFTIE MEDICAL SERVICES.
| 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.