CARROLL CREEK HEALTH CARE LLC (NPI# 1598978199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598978199 |
| Entity Type | Organization |
| Organization Name | CARROLL CREEK HEALTH CARE LLC |
| Practice Address |
420 E Patrick St Frederick MD 21701-5658 |
| Practice Telephone | 3016987420 |
| Mailing Telephone | 3016987420 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ERIC JAMES BURKHOLDER (DIRECTOR) |
| Authorized Official Telephone | 3016987420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PW0242 | MD | Suppliers |
| Street Address |
420 E PATRICK ST |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-5658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487794673 | Potomac Medical LLC | Non-Pharmacy Dispensing Site | 420 E Patrick St, Suite 200, Frederick, MD 21701-5658 | 2007-02-07 |
| 1396051496 | Lisa Gwynn Paar | Counselor | 420 E Patrick St, Suite 100, Frederick, MD 21701-5658 | 2010-08-26 |
| 1992027726 | Serenity Treatment Center, Inc. | Clinic/Center | 420 E Patrick St, Frederick, MD 21701-5658 | 2010-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494174 | Hpc Health LLC | Pharmacy | 120 E Pulaski Hwy Unit 120, Elkton, MD 21921-6430 | 2020-10-09 |
| 1689209496 | Polaris Pharmacy Services of Maryland, LLC | Pharmacy | 9113 Liberty Rd, Randallstown, MD 21133-3530 | 2020-03-12 |
| 1740791177 | Foers Long Term Care Pharmacy | Pharmacy | 1300 Piccard Dr Ste Ll-16, Rockville, MD 20850-4303 | 2017-10-12 |
| 1114386174 | Smithsburg Pharmacy LLC | Pharmacy | 22030 Jefferson Blvd, Smithsburg, MD 21783-2057 | 2016-02-19 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1437498615 | Care One Pharmacy Ltc/specialty Pharmacy | Pharmacy | 2277-2279 Reisterstown Road, Baltimore, MD 21217 | 2013-02-07 |
| 1043571367 | Nayosha LLC | Pharmacy | 8900 Columbia 100 Pkwy Ste H, Columbia, MD 21045-2336 | 2012-06-04 |
| 1972886927 | Priority Healthcare | Pharmacy | 751 Elkton Blvd, Elkton, MD 21921-5425 | 2011-09-26 |
| 1851523765 | Professional Care Pharmacy Inc | Pharmacy | 806 Reisterstown Rd, Unit 3, Pikesville, MD 21208-4215 | 2009-08-12 |
| 1093941478 | Global Health Pharmacy, Inc | Pharmacy | 7500 Montpelier Rd Ste 106, Laurel, MD 20723-6012 | 2009-05-30 |
| Find all providers with the same taxonomy | ||||
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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.