ST. MARY'S HOSPICE PHYSICIAN - MEDICAID (NPI# 1477753937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477753937 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S HOSPICE PHYSICIAN - MEDICAID |
| Practice Address |
22699 Washington St. Leonardtown MD 20650-0650 |
| Mailing Address |
22699 Washington St. Leonardtown MD 20650-0625 |
| Practice Telephone | 3014756438 |
| Practice Fax Number | 3014756188 |
| Mailing Telephone | 3014756438 |
| Mailing Fax Number | 3014756188 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-12-11 |
| Authorized Official Name | MR. ALLAN HALL BURBAGE (DIRECTOR REVENUE CYCLE MANAGEMENT) |
| Authorized Official Telephone | 2404347100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | H1539 | MD | Agencies |
| Street Address |
22699 WASHINGTON ST. |
| City | LEONARDTOWN |
| State | MD |
| Zip Code | 20650-0650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831665819 | Delahay Healthcare Services LLC | Home Health Aide | 40001 Stillwater Ln, Leonardtown, MD 20650 | 2018-10-17 |
| 1891241519 | Aaron Dailey | Pharmacist | 40955 Merchant Lane, Leonardtown, MD 20650 | 2016-09-01 |
| 1720483936 | Joy Jay, Inc | Dentist | 41630 Courthouse Dr., Leonardtown, MD 20650 | 2014-10-30 |
| 1497092605 | Deborah Ann Duley | Social Worker | 41660 Courthouse Drive, Suite 201c, Leonardtown, MD 20650 | 2013-01-08 |
| 1962757104 | Sense-ability, LLC | Occupational Therapy Assistant | 41680 Miss Bessie Dr Ste 103, Leonardtown, MD 20650 | 2012-07-13 |
| 1578876264 | Belitehorizonmedicalcenter | Psychiatry & Neurology | 26825 Pointlook Out Road, Stee, Leonardtown, MD 20650 | 2010-07-22 |
| 1043544497 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 41680 Courthouse Dr, Leonardtown, MD 20650 | 2009-10-01 |
| 1487892899 | Valentina Savel | Nurse Anesthetist, Certified Registered | 25500 Pt Lookout Rd, Leonardtown, MD 20650 | 2009-01-23 |
| 1174786362 | Henry Todd Allen | Dentist | 22690 Washington Street, Leonardtown, MD 20650 | 2008-07-08 |
| 1487813192 | St Mar's County Dept of Human Services | Public Health or Welfare | 23115 Leonard Hall Drive, Department of Human Services, Leonardtown, MD 20650 | 2008-06-06 |
| Find all providers in zip 20650 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046387 | Integrity Living, LLC | Hospice Care, Community Based | 1637 Argonne Dr, Baltimore, MD 21218-1625 | 2020-09-04 |
| 1033735667 | Jil Home Health Services, LLC | Hospice Care, Community Based | 222 Marshall Ct, Havre De Grace, MD 21078-4103 | 2020-06-19 |
| 1386204402 | Amedisys Maryland LLC | Hospice Care, Community Based | 1400 Mercantile Ln Ste 228, Largo, MD 20774-5350 | 2019-06-20 |
| 1396216495 | First Choice Health Services LLC | Hospice Care, Community Based | 14802 Bowie Farm Ct, Bowie, MD 20721-6226 | 2018-12-16 |
| 1336653955 | A Nurse of Your Own & Co Recruitment Firm LLC | Hospice Care, Community Based | 6 Cedar Tree Ct Apt G, Cockeysville, MD 21030 | 2017-11-17 |
| 1194135749 | Talbot Hospice Foundation, Inc | Hospice Care, Community Based | 586 Cynwood Dr, Easton, MD 21601-3805 | 2014-05-05 |
| 1609068980 | Calvert Hospice Physician | Hospice Care, Community Based | 238 Merrimac Ct, Prince Frederick, MD 20678 | 2007-08-10 |
| 1447440730 | Gilchrist Hospice Care Physician | Hospice Care, Community Based | 11311 Mccormick Rd, Suite 350, Hunt Valley, MD 21031-1004 | 2007-08-01 |
| 1982894648 | Joseph Richey House, Inc | Hospice Care, Community Based | 838 N Eutaw St, Baltimore, MD 21201-4624 | 2007-07-30 |
| 1972702587 | Heartland Hospice Services, Inc | Hospice Care, Community Based | 4e Rollling Crossroads, Suite 307, Catonsville, MD 21228 | 2007-07-13 |
| Find all providers with the same taxonomy | ||||
| City | LEONARDTOWN |
| Zip Code | 20650 |
Please comment or provide details below to improve the information on ST. MARY'S HOSPICE PHYSICIAN - MEDICAID.
| 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.