LIFEGATE, INC (NPI# 1851922066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851922066 |
| Entity Type | Organization |
| Organization Name | LIFEGATE, INC |
| Practice Address |
5010 Sunnyside Ave Ste 309 Beltsville MD 20705-2320 |
| Practice Telephone | 3017447412 |
| Practice Fax Number | 3015606648 |
| Mailing Telephone | 3017447412 |
| Mailing Fax Number | 3015606648 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | MS. CHRISTINA EMADE (CEO) |
| Authorized Official Telephone | 2404327204 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
5010 SUNNYSIDE AVE STE 309 |
| City | BELTSVILLE |
| State | MD |
| Zip Code | 20705-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972874618 | Multicultural Counseling & Consulting Center, LLC | Counselor | 5010 Sunnyside Ave Ste 309, Beltsville, MD 20705-2320 | 2012-01-25 |
| 1578839353 | Marie Fonrose | Counselor | 5010 Sunnyside Ave Ste 309, Beltsville, MD 20705-2320 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730318 | My Clinical Coordinator LLC | Nurse Practitioner | 11720 Belsville Drive, Suite 500-a44, Beltsville, MD 20705 | 2020-11-04 |
| 1306454129 | Anastasi Ward | Technician | 4009 Lakehouse Road, Beltsville, MD 20705 | 2020-07-17 |
| 1750942512 | City Access LLC | Pharmacy | 11466 Cherry Hill Road, Silver Spring, MD 20705 | 2019-06-24 |
| 1972089225 | Emily Hemphill | Behavior Technician | 3917 Howard Rd, Beltsville, MD 20705 | 2018-07-18 |
| 1457841629 | Vijayalakshmi Jesson Dds PC | Dentist | 10820 Rhode Island Ave Ste A, Beltsville, MD 20705 | 2018-05-14 |
| 1942704465 | Ana Lisette Cordon | Behavior Technician | 12603 Bear Creek Ter, Beltsville, MD 20705 | 2018-03-20 |
| 1841718608 | Premier Health Care LLC | Psychiatry & Neurology | 4600 Powder Mill Rd Ste Z1, Beltsville, MD 20705 | 2017-08-31 |
| 1104357094 | Byron Adams | Social Worker | 12050 Baltimore Avenue, Beltsville, MD 20705 | 2017-03-23 |
| 1598213936 | Suita Healthcare Services | Home Health | 4517 Sellman Road, Suit G, Beltsville, MD 20705 | 2016-09-14 |
| 1578910246 | Kadiatu Turay | Technician | 11457 Cherry Hiill Rd #303, Beltsville, MD 20705 | 2016-05-23 |
| Find all providers in zip 20705 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427550623 | Person Center Services, L.l.c | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4600 Powder Mill Rd Ste 450-f, Beltsville, MD 20705-2675 | 2018-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659978 | Your Choices Support Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8480 Baltimore National Pike # 141, Ellicott City, MD 21043-3369 | 2020-11-02 |
| 1225638786 | Alternative Dda Home Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Reisterstown Rd Ste 180, Baltimore, MD 21208-1313 | 2020-10-26 |
| 1487251195 | Shore Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8221 Teal Dr Ste 422, Easton, MD 21601-7212 | 2020-10-06 |
| 1750909875 | Richcroft Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11350 Mccormick Rd Ste 700, Hunt Valley, MD 21031-1002 | 2020-07-07 |
| 1710501648 | Together We Stand Support Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3702 Evergreen Ave, Baltimore, MD 21206-3420 | 2020-06-06 |
| 1447870985 | Palmer's Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3410 Gateshead Manor Way Apt 201, Silver Spring, MD 20904-6114 | 2020-04-24 |
| 1477185338 | A.w. Holdings of Maryland, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 808 Klees Mill Rd, Westminster, MD 21157-8230 | 2020-02-10 |
| 1851930382 | Daylight Healthcare Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3812 Pikeswood Dr, Randallstown, MD 21133-2710 | 2020-01-01 |
| 1205479763 | Oasis Plus Social Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4446 Regalwood Ter, Burtonsville, MD 20866-2227 | 2019-10-28 |
| 1003459777 | Walter Obi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4201 Brookside Oaks, Owings Mills, MD 21117-5168 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | BELTSVILLE |
| Zip Code | 20705 |
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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.