SEPPK (NPI# 1417489295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417489295 |
| Entity Type | Organization |
| Organization Name | SEPPK |
| Other Organization Name | CHEVI NATURAL HEALING |
| Practice Address |
1224 W Old Liberty Rd Sykesville MD 21784-9327 |
| Practice Telephone | 4108757284 |
| Practice Fax Number | 4108757284 |
| Mailing Telephone | 4108757284 |
| Mailing Fax Number | 4108757284 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | PROF. DEUK B KONG (THERAPSIT) |
| Authorized Official Telephone | 4108757284 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | M05267 | MD | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Chevi Natural Healing | Doing Business As Name - Organization |
| Street Address |
1224 W OLD LIBERTY RD |
| City | SYKESVILLE |
| State | MD |
| Zip Code | 21784-9327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033681085 | Kathleen Busching | Occupational Therapy Assistant | Intergrace Fairhaven, 7200 Third Ave, Sykesville, MD 21784 | 2018-12-31 |
| 1619450376 | Mackenzie Fleming | Counselor | 6220 Georgetown Blvd Suite C, Eldersburg, MD 21784 | 2018-09-10 |
| 1316426919 | Rebecca Rubin | Nurse Practitioner | 1380 Progress Way, Suite 102, Eldersburg, MD 21784 | 2018-08-14 |
| 1417473273 | Andrey Doroshenko | Dentist | 1722 Underwood Road, Sykesville, MD 21784 | 2017-08-14 |
| 1992229694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 Georgetown Blvd, Eldersburg, MD 21784 | 2017-08-03 |
| 1457894495 | Bethany Six | Nurse Practitioner | 6190 Gerogetown Blvd, Eldersburg, MD 21784 | 2016-11-23 |
| 1982011821 | Fast Track Urgent Care, LLC | Clinic/Center | 1315 Breton Drive, Eldersburg, MD 21784 | 2014-07-11 |
| 1588097984 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 5961 Exchange Dr, Suite 100, Eldersburg, MD 21784 | 2013-08-21 |
| 1356690986 | Kayla Nicole Koster | Speech-Language Pathologist | 1702 Liberty Road, First Floor, Sykesville, MD 21784 | 2012-08-29 |
| 1558645663 | Fusion Dental | Dentist | 5959 Exchange Drive, Suite 116, Eldersburg, MD 21784 | 2011-10-07 |
| Find all providers in zip 21784 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical 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 |
|---|---|---|---|---|
| 1063891018 | Nissi Homes LLP | Residential Treatment Facility, Physical Disabilities | 8604 Briarwood Ct, Laurel, MD 20708-1320 | 2015-05-22 |
| 1164801114 | Nissi Homes LLP | Residential Treatment Facility, Physical Disabilities | 20109 Torrey Pond Pl, Montgomery Village, MD 20886-1119 | 2015-05-22 |
| 1396135158 | Joy Harris | Residential Treatment Facility, Physical Disabilities | 9608 Tuckerman St, Lanham, MD 20706-3431 | 2015-02-02 |
| 1942634308 | Isaac J Ntia | Residential Treatment Facility, Physical Disabilities | 621 Sheridan St Apt 14, Hyattsville, MD 20783-3212 | 2013-08-21 |
| 1801231352 | Brightlife Inc | Residential Treatment Facility, Physical Disabilities | 4715 Columbia Hills Ct, Ellicott City, MD 21043-6409 | 2013-05-09 |
| 1619310406 | Rejoice Health Services | Residential Treatment Facility, Physical Disabilities | 7800 Wilson Ave, Parkville, MD 21234-5825 | 2013-04-10 |
| 1598046435 | Home Care Solutions | Residential Treatment Facility, Physical Disabilities | 14 W Patrick St, Frederick, MD 21701-5666 | 2011-09-06 |
| 1033365812 | Second Chance Services Unlimited Inc. | Residential Treatment Facility, Physical Disabilities | 10001 Derekwood Ln Ste 200, Lanham, MD 20706-4871 | 2008-08-13 |
| 1649433756 | Liberty Rehabilitation Services | Residential Treatment Facility, Physical Disabilities | 3333 Northmont Rd, Windsor Mill, MD 21244-2953 | 2008-07-08 |
| 1194734251 | The Arc of Washington County, Inc. | Residential Treatment Facility, Physical Disabilities | 820 Florida Avenue, Hagertown, MD 21740 | 2006-08-07 |
| Find all providers with the same taxonomy | ||||
| City | SYKESVILLE |
| Zip Code | 21784 |
Please comment or provide details below to improve the information on SEPPK.
| 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.