PAULINE ANNETT MITCHELL-EJIMAKOR (NPI# 1861642613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861642613 |
| Entity Type | Individual |
| Full Name | PAULINE ANNETT MITCHELL-EJIMAKOR |
| Other Name | PAULINE ANNETT WILSON |
| Practice Address |
1300 Mercantile Ln Suite 138 E Largo MD 20774-5327 |
| Mailing Address |
1300 Mercantile Ln Suite 138e Largo MD 20774-5327 |
| Practice Telephone | 2406671594 |
| Practice Fax Number | 2406671596 |
| Mailing Telephone | 2406671594 |
| Mailing Fax Number | 2406671596 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2011-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | R2683 | MD | Suppliers |
| Street Address |
1300 MERCANTILE LN SUITE 138 E |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522745 | Health Choice By Grace, LLC | Clinic/Center | 1300 Mercantile Ln, Largo, MD 20774-5327 | 2019-08-06 |
| 1104306414 | Curtis Tommy Clair Jr. | Counselor | 1300 Mercantile Ln, Largo, MD 20774-5327 | 2018-08-16 |
| 1609374610 | Medical One Solutions, Inc | Nursing Care | 1300 Mercantile Ln, 100k, Largo, MD 20774-5327 | 2018-01-24 |
| 1134662034 | Brown'scounseling & Therapeutic Services, LLC | Counselor | 1300 Mercantile Ln, Suite 141-d, Largo, MD 20774-5327 | 2016-11-24 |
| 1952756587 | Margo Renee Hammond | Social Worker | 1300 Mercantile Ln, Suite 129-35, Largo, MD 20774-5327 | 2016-05-02 |
| 1891157962 | Brandon Moseley | Counselor | 1300 Mercantile Ln, Largo, MD 20774-5327 | 2016-03-28 |
| 1205208485 | Safe Harbor Christian Counseling | Psychologist | 1300 Mercantile Ln, Largo, MD 20774-5327 | 2015-10-27 |
| 1417344896 | Community Counseling & Mentoring Services, Inc. | Clinic/Center | 1300 Mercantile Ln, Suite 208, Largo, MD 20774-5327 | 2015-04-23 |
| 1164853669 | My Covenant Place | Community/Behavioral Health | 1300 Mercantile Ln, Suite 123, Largo, MD 20774-5327 | 2013-12-09 |
| 1366871907 | Salim Bilal Edwards | Counselor | 1300 Mercantile Ln, 139-r, Largo, MD 20774-5327 | 2013-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| 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 |
|---|---|---|---|---|
| 1912524109 | Dme of Florida, L.L.C. | Durable Medical Equipment & Medical Supplies | 10225 Ulmerton Rd Ste 2a, Largo, FL 33771-3538 | 2020-07-03 |
| 1427690288 | Medi-tek LLC | Durable Medical Equipment & Medical Supplies | 10658 Seminole Blvd, Largo, FL 33778-3328 | 2019-10-14 |
| 1336601897 | Tickled Pink Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1301 Seminole Blvd Ste 138, Largo, FL 33770-8102 | 2019-04-03 |
| 1124587555 | Durable Care, LLC | Durable Medical Equipment & Medical Supplies | 1301 Seminole Blvd Ste 128, Largo, FL 33770-8182 | 2019-03-15 |
| 1700344959 | Sunrise Health, Inc | Durable Medical Equipment & Medical Supplies | 801 W Bay Dr Ste 432, Largo, FL 33770-3234 | 2019-03-06 |
| 1992277396 | Amazon Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12551 Indian Rocks Rd Ste 11, Largo, FL 33774-3009 | 2018-12-23 |
| 1083186480 | 5 Star Medical Inc | Durable Medical Equipment & Medical Supplies | 12551 Indian Rocks Rd Ste 12, Largo, FL 33774-3009 | 2018-12-23 |
| 1255802104 | Sst Medical Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 801 W Bay Dr Ste 605, Largo, FL 33770-3268 | 2018-12-17 |
| 1093284747 | Tiger Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2401 W Bay Dr Ste 116, Largo, FL 33770-4902 | 2018-11-23 |
| 1184193021 | Major Relief Inc | Durable Medical Equipment & Medical Supplies | 11561 Walsingham Rd Ste B, Largo, FL 33778-2500 | 2018-11-21 |
| Find all providers in LARGO | ||||
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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.