TRI-STATE HOME CARE SERVICES OF MARYLAND, LLC (NPI# 1881237543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881237543 |
| Entity Type | Organization |
| Organization Name | TRI-STATE HOME CARE SERVICES OF MARYLAND, LLC |
| Practice Address |
5000 Thayer Ctr Ste C Oakland MD 21550-1139 |
| Mailing Address |
Po Box 17 Fort Ashby WV 26719-0017 |
| Practice Telephone | 3042983434 |
| Practice Fax Number | 3042983435 |
| Mailing Telephone | 3042983434 |
| Mailing Fax Number | 3042983435 |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | MR. DONALD KYLE HARRIS II (OWNER/CONTROLLER) |
| Authorized Official Telephone | 3042983434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Tri-State Home Care Services | Doing Business As Name - Organization |
| Street Address |
5000 THAYER CTR STE C |
| City | OAKLAND |
| State | MD |
| Zip Code | 21550-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578035028 | The House of Hope, Inc. | Custodial Care Facility | 5000 Thayer Ctr Ste C, Oakland, MD 21550-1139 | 2018-12-21 |
| 1215575352 | Full Spectrum Aba of Maryland LLC | Assistant Behavior Analyst | 5000 Thayer Ctr Ste C, Oakland, MD 21550-1139 | 2019-12-19 |
| 1437791977 | Alcove Maryland LLC | Nurse Practitioner | 5000 Thayer Ctr Ste C, Oakland, MD 21550-1139 | 2019-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619470218 | Care 1st Wellness | Counselor | 13223 Garrett Highway, Suite 2, Oakland, MD 21550 | 2018-03-10 |
| 1285133041 | Ruth Chisholm | Dietitian, Registered | 251 North Fourth Street, Oakland, MD 21550 | 2018-02-07 |
| 1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
| 1801347638 | Pressley Ridge | Community/Behavioral Health | 8000 Thayer Center, Oakland, MD 21550 | 2016-10-17 |
| 1639588486 | Bridget Frazee | Pharmacist | 220 N 3rd Street, Oakland, MD 21550 | 2014-08-06 |
| 1649562901 | Rachel Renee Friend-lantz | Nurse Practitioner | 13145 Garrett Hwy, Oakland, MD 21550 | 2011-05-05 |
| 1003034794 | Rodney Steve Richard | Social Worker | 20 East Oak St., Oakland, MD 21550 | 2007-04-20 |
| 1114141785 | Garrett County Board of Education | Local Education Agency (LEA) | 40 S Second Street, Oakland, MD 21550 | 2007-04-12 |
| 1437372620 | D W Sheets Dmd LLC | Dentist | 4000 Thayer Center, Oakland, MD 21550 | 2007-04-10 |
| 1003943465 | Lisa C Scott | Physician Assistant | 69 Wolf Acres Drive, Oakland, MD 21550 | 2007-02-27 |
| Find all providers in zip 21550 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053522 | Tabatha Horton | Technician | 4039 Maryland Hwy, Oakland, MD 21550-6335 | 2020-08-12 |
| 1720212335 | Maine-ly Elder Care, Inc. | Technician | 28 Center St., Oakland, ME 04963 | 2009-05-11 |
| 1699337550 | Patricia A Jones | Technician | 280 17th St, Oakland, CA 94612-4124 | 2019-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536933 | Joi Watts | Technician | 16 Potomac St, Cumberland, MD 21502-4754 | 2020-10-23 |
| 1316546732 | Megan Weissfuss | Technician | 18348 Roy Croft Dr, Hagerstown, MD 21740-1676 | 2020-10-19 |
| 1316545973 | Nuria Reyes | Technician | 3223 Powder Mill Rd, Hyattsville, MD 20783-1030 | 2020-10-15 |
| 1528666344 | Miracle Jade Morton | Technician | 17815 Merino Dr, Accokeek, MD 20607-3277 | 2020-10-14 |
| 1518564814 | Ashanti Savage | Technician | 8700 Post Oak Way, Hyattsville, MD 20785-4734 | 2020-10-08 |
| 1730786815 | Regina Sutherland | Technician | 114 Green St, Westernport, MD 21562-1704 | 2020-10-02 |
| 1528665668 | Roseline Ndip Ayuk | Technician | 931 Caslon Way Apt 104, Hyattsville, MD 20785-6005 | 2020-10-01 |
| 1043827793 | Elvis Tinong Mbah | Technician | 3504 Hubbard Rd Apt 204, Hyattsville, MD 20785-2068 | 2020-09-28 |
| 1417564162 | Adolf Mba Bafi | Technician | 9905 Good Luck Rd Apt T1, Lanham, MD 20706-3246 | 2020-09-27 |
| 1295342194 | Shirlee Degraphenreid | Technician | 938 E Swan Creek Rd # 282, Fort Washington, MD 20744-5250 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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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.