CALVERT HOSPICE PHYSICIAN (NPI# 1609068980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609068980 |
Entity Type | Organization |
Organization Name | CALVERT HOSPICE PHYSICIAN |
Other Organization Name | CAVLERT HOSPICE PHYSICIAN |
Practice Address |
238 Merrimac Ct Prince Frederick MD 20678 |
Mailing Address |
Po Box 838 Prince Frederick MD 20678-0838 |
Practice Telephone | 4105350892 |
Practice Fax Number | 4105355677 |
Mailing Telephone | 4105350892 |
Mailing Fax Number | 4105355677 |
Enumeration Date | 2007-08-10 |
Last Update Date | 2017-01-18 |
Authorized Official Name | JEAN FLEMING (CHEIF EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4105350892 |
Authorized Official Credential | EDD, RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | H1521 | MD | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 432431500 | 05 |
Other Name | Type Code |
---|---|
CAVLERT HOSPICE PHYSICIAN | Doing Business As Name - Organization |
Street Address |
238 MERRIMAC CT |
City | PRINCE FREDERICK |
State | MD |
Zip Code | 20678 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588165724 | Rachel Elaine Sherman | Nurse Practitioner | 238 Merrimac Ct, Prince Frederick, MD 20678-6113 | 2018-02-22 |
1699175331 | Amy Szatanek | Social Worker | 238 Merrimac Ct, Prince Frederick, MD 20678-6113 | 2014-08-29 |
1750718839 | Calvert Hospice, Inc | PACE Provider Organization | 238 Merrimac Ct, Prince Frederick, MD 20678-0838 | 2013-10-03 |
1871754499 | Stephanie B. Carpenter | Internal Medicine | 238 Merrimac Ct, Prince Frederick, MD 20678-6113 | 2008-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
Find all providers in zip 20678 |
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 |
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 |
1477753937 | St. Mary's Hospice Physician - Medicaid | Hospice Care, Community Based | 22699 Washington St., Leonardtown, MD 20650-0650 | 2007-07-23 |
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 | PRINCE FREDERICK |
Zip Code | 20678 |
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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.