PROVIDENCE PT & DME (NPI# 1700077377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700077377 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE PT & DME |
| Practice Address |
5810 Riverdale Rd Riverdale MD 20737-2142 |
| Practice Telephone | 3012774337 |
| Practice Fax Number | 3012774335 |
| Mailing Telephone | 3012774337 |
| Mailing Fax Number | 3012774335 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | MR. GUILLAUME SERY KABERT (CEO, PRESIDENT) |
| Authorized Official Telephone | 3012774337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | R2484 | MD | Suppliers |
| Street Address |
5810 RIVERDALE RD |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737-2142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1083238885 | Stanley A Mbakwa | Home Health Aide | 5702 Singnate Ln., Riverdale, MD 20737 | 2020-06-08 |
| 1033694542 | Millicent Conteh | Home Health Aide | 6833 Riverdale Road Apt 201c, Riverdale, MD 20737 | 2018-10-01 |
| 1831675388 | Violet Horsfall Osai | Home Health Aide | 5519 Nicholson Street, 202, Riverdale, MD 20737 | 2018-07-18 |
| 1801329867 | Zainab Bangura | Home Health Aide | 6831 Riverdale Road, C201, Riverdale, MD 20737 | 2017-04-06 |
| 1770035768 | Sheila Acheampong | Occupational Therapy Assistant | 4409 East West Hway, Riverdale, MD 20737 | 2016-10-26 |
| 1346614070 | Onyemauwa Mowjoodi | Licensed Vocational Nurse | 6823b Riverdale Rd # B2, Riverdale, MD 20737 | 2015-11-18 |
| 1841677531 | Andre Demetrius Brown Jr. | Home Health Aide | 4706 Oliver Street, Riverdale, MD 20737 | 2015-05-01 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1487054870 | Kilimot Emiola | Home Health Aide | 6139 64th Ave., Apt 3, Riverdale, MD 20737 | 2014-09-04 |
| Find all providers in zip 20737 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475565 | Tonika Tchampo | Durable Medical Equipment & Medical Supplies | 8050 Taylor Rd Apt 1101, Riverdale, GA 30274-4392 | 2020-10-21 |
| 1427672096 | Wellness Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 6518 Highway 85 Ste G, Riverdale, GA 30274-2364 | 2020-05-29 |
| 1023591856 | Kal Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 4042 Pacific Ave Ste 103, Riverdale, UT 84405-1574 | 2018-09-07 |
| 1346549763 | Lifetime Products | Durable Medical Equipment & Medical Supplies | 5296 Freeway Park Dr, Riverdale, UT 84405-4063 | 2011-03-24 |
| 1942527841 | L&o,llc | Durable Medical Equipment & Medical Supplies | 4701 Somerset Rd, Riverdale, MD 20737-1131 | 2010-05-01 |
| 1649417171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6665 Highway 85, Riverdale, GA 30274-2346 | 2009-01-21 |
| 1043481260 | Dme Supply Inc | Durable Medical Equipment & Medical Supplies | 1347 Highway 138 Sw # 2, Riverdale, GA 30296-1403 | 2008-03-14 |
| 1528134145 | Carefirst Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 6030 Hwy 85, Suite 224, Riverdale, GA 30274 | 2006-11-27 |
| 1740370717 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 48 State Rt 23, Riverdale, NJ 07457-1602 | 2006-10-13 |
| 1134228463 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 6690 Highway 85 South, Riverdale, GA 30274-2376 | 2006-09-22 |
| Find all providers in RIVERDALE | ||||
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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.