VETERANS ADMINISTRATION (NPI# 1588752885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588752885 |
| Entity Type | Organization |
| Organization Name | VETERANS ADMINISTRATION |
| Practice Address |
1-h Circle Drive Perry Point MD 21902 |
| Mailing Address |
3 Bridge Drive Joppatowne MD 21085-4507 |
| Practice Telephone | 4106422411 |
| Mailing Telephone | 4106795275 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOYCE JJ FONTENOT (SUPERVISOR, VAMHCS, MEDICAL STAFF) |
| Authorized Official Telephone | 4106057347 |
| Authorized Official Credential | CPMSM, CPCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184159725 | Veterans Administration | Psychiatric Unit | 4455 Horizon Hill, San Antonio, TX 78229 | 2017-04-20 |
| 1407380298 | Veterans Administration | Substance Abuse Rehabilitation Facility | 13418 Coram Peak St, San Antonio, TX 78248-1202 | 2017-04-18 |
| 1285994400 | Veterans Administration | General Acute Care Hospital | 1901 Berkeley St., Salt Lake City, UT 84108 | 2012-05-22 |
| 1255698288 | Veterans Administration | Clinic/Center | 7 Lavenham Rd, Novato, CA 94949-6296 | 2012-04-16 |
| 1942450721 | Veterans Administration | Military Hospital | 105 W Maryland Ave, Crewe, VA 23930-1809 | 2008-09-29 |
| 1538289491 | Veterans Administration | Psychiatric Unit | 6390 Cash Mountain Rd, Malvern, AR 72104-9137 | 2007-04-01 |
| 1558453571 | Veterans Administration | General Acute Care Hospital | 5516 Vansville Way, Las Vegas, NV 89130-3601 | 2006-09-28 |
| 1235230848 | Veterans Administration | Clinic/Center | 3315 Chanate Rd Ste 1b, Santa Rosa, CA 95404-1740 | 2006-09-26 |
| 1518067537 | Veterans Administration | Clinic/Center | 10 Hazelwood Ct, Attleboro, MA 02703-1564 | 2006-09-22 |
| 1356446132 | Veterans Administration | Psychiatric Hospital | Bldg 364 Ave. D, Perry Point, MD 21902 | 2006-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VETERANS ADMINISTRATION MEDICAL CENTER | 500 W Fort St., Boise, ID 83702-4501 |
| New York State Corporations | VETERANS ADMINISTRATION SARATOGA NATIONAL CEMETERY SUPPORT COMMITTEE INC. | 200 Duell Road, Schuylerville, Ny 12871 |
| Street Address |
1-H CIRCLE DRIVE |
| City | PERRY POINT |
| State | MD |
| Zip Code | 21902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373159 | Daniel Vigus | Recreation Therapist | 59 Ave D, Perry Point, MD 21902 | 2020-10-15 |
| 1407471758 | Amanda Dawn Morris | Optometrist | Perry Point Va Medical Center - Va Maryland Health Care, Perry Point, MD 21902 | 2020-06-12 |
| 1639672835 | Sarah Nicole Cassatt | Dietitian, Registered | Perry Point Va Medical Center Avenue D & 8th St, Perry Point, MD 21902 | 2018-03-14 |
| 1669981809 | Kristyn Sanders | Social Worker | Avenue D & 8th St., Perry Point, MD 21902 | 2017-09-20 |
| 1093250342 | Maria Elana Bergeron | Nurse Practitioner | Bldg 25 Perry Point Va Medical Center, Perry Point, MD 21902 | 2016-12-22 |
| 1124572037 | Jonathan Raymond | Physical Therapist | Avenue D & 8th St, Perry Point, MD 21902 | 2016-08-09 |
| 1528435732 | Stanley Prochaska Jr. | Nurse Practitioner | 1 Avenue D, Perryville, MD 21902 | 2015-08-24 |
| 1346665437 | Doreen Carole Rupp | Social Worker | Avenue D, Building 19h, 244, Perry Point, MD 21902 | 2014-02-26 |
| 1457604944 | Justin Colin Everson | Internal Medicine | Building 19h, Room 270, Perry Point Va Medical Center, Perry Point, MD 21902 | 2012-10-21 |
| 1104198779 | Ashley Abell Carroll | Social Worker | 2h Circle Drive, Perry Point Veterans Affairs Medical Center, Perry Point, MD 21902 | 2012-01-30 |
| Find all providers in zip 21902 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151066 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 486 Lincoln Dr, Glen Burnie, MD 21060-8706 | 2020-10-15 |
| 1841898434 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 394 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-15 |
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 2020-10-12 |
| 1801494984 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8315 Veterans Hwy, Millersville, MD 21108-1421 | 2020-10-12 |
| 1124626296 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 390 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-12 |
| 1457968984 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 22 S Broadway, Baltimore, MD 21231-1711 | 2020-09-29 |
| 1356956676 | The Elysian Fields Optimum Wellness and Mental Health Group, LLC | Substance Abuse Rehabilitation Facility | 2901 Erdman Ave, Baltimore, MD 21213-1139 | 2020-09-14 |
| 1134731284 | Serenity Keepers of Maryland LLC | Substance Abuse Rehabilitation Facility | 3645 Cottage Ave, Baltimore, MD 21215-7725 | 2020-08-20 |
| 1255949392 | Champ House Recovery Inc. | Substance Abuse Rehabilitation Facility | 8655 Normal School Rd, Bowie, MD 20715-3326 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | PERRY POINT |
| Zip Code | 21902 |
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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.