FOREVER HOME, LLC (NPI# 1619485851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619485851 |
| Entity Type | Organization |
| Organization Name | FOREVER HOME, LLC |
| Practice Address |
1324 Rayville Rd Parkton MD 21120-9056 |
| Mailing Address |
Po Box 652 Monkton MD 21111-0652 |
| Practice Telephone | 4432125340 |
| Mailing Telephone | 4108121916 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |
| Authorized Official Name | DR. KATHLEEN ANN SUBASIC (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 4108121916 |
| Authorized Official Credential | PHD, OTR/L, CPAS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XE0001X |
Occupational Therapist Specialization: Environmental Modification |
04200 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 4245806 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Forever Home, LLC | 19 Stockbridge Drive, Avon, CT 06001 |
| Colorado Business Entities | Forever Home, LLC | 27292 County Road 13, Unit 1, Johnstown, CO 80534 |
| Street Address |
1324 RAYVILLE RD |
| City | PARKTON |
| State | MD |
| Zip Code | 21120-9056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902464852 | Melissa Juarez | Dentist | Ave Durango 1180, Mexicali, BAJA CALIFORNIA 21120 | 2019-06-04 |
| 1780630228 | Mary Kay Conover-walker | Nurse Practitioner | 250 Shilling Circle, Health Center, Hunt Valley, MD 21120 | 2006-05-26 |
| 1306843644 | Beverly June Davis Bye | Nurse Practitioner | 16905 Flickerwood Rd, Parkton, MD 21120 | 2005-07-01 |
| 1114952199 | Susan H Schrock | Internal Medicine | 14a Mount Carmel Rd, Parkton, MD 21120 | 2006-07-11 |
| 1821638792 | Jennifer Seman | Physician Assistant | 118 Bentley Rd, Parkton, MD 21120-9015 | 2020-01-08 |
| 1225282171 | Heidi Chesla | Physical Therapist | 19119 Middletown Rd, Parkton, MD 21120-9065 | 2008-11-05 |
| 1497119762 | Laura Acsadi | Social Worker | 21512 W Liberty Rd, Parkton, MD 21120-9110 | 2016-04-12 |
| 1144514407 | Phyllis Goodwin Merrill | Lactation Consultant, Non-RN | 21522 W Liberty Rd, Parkton, MD 21120-9110 | 2011-06-04 |
| 1154723419 | Sarah Koehn | Emergency Medical Technician, Basic | 20916 Old York Rd, Parkton, MD 21120-9135 | 2014-09-18 |
| 1861099863 | Paraklete Consulting, LLC | Counselor | 20870 Old York Rd, Parkton, MD 21120-9137 | 2020-10-03 |
| Find all providers in zip 21120 | ||||
| Taxonomy Code | 225XE0001X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Environmental Modification |
| Occupational therapy practitioners are experts at identifying the cause of difficulties in performance of activities of daily living and instrumental activities of daily living. Occupational therapy practitioners evaluate the client, their environment, and their occupational performance in that environment, as well as make recommendations for products to improve the fit between the client, place, and activity. Occupational therapists can evaluate both the skills of the client and the environmental features that support or limit the performance of meaningful or necessary activities, thereby enhancing health, safety and well-being. Based on this assessment, they recommend modification and intervention strategies that improve the fit between the person and his or her environment. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary specialty certification for an Environmental Modification Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645524 | Mary Lisa Becker | Occupational Therapist | 3913 Foxhill Dr, Ellicott City, MD 21042-5311 | 2019-02-16 |
| 1023433646 | Eldorna Samuel | Occupational Therapist | 10000 Running Sand Knl, Laurel, MD 20723-5783 | 2014-02-19 |
| 1295960979 | Margarita Marion Hyman | Occupational Therapist | 221 Stony Run Ln, Apt. H-1, Baltimore, MD 21210-3030 | 2009-05-24 |
| 1255967188 | Stay Put Solutions, LLC | Occupational Therapist | 3118 Old Post Dr, Baltimore, MD 21208-3201 | 2020-03-23 |
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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.