MR. FAMOUS IWINOSA OSASUYI (NPI# 1902268352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902268352 |
| Entity Type | Individual |
| Full Name | MR. FAMOUS IWINOSA OSASUYI |
| Practice Address |
11555 Autumn Terrace Dr White Marsh MD 21162-1152 |
| Practice Telephone | 4432266339 |
| Practice Fax Number | 4439190209 |
| Mailing Telephone | 4432266339 |
| Mailing Fax Number | 4439190209 |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MD | Residential Treatment Facilities |
| Street Address |
11555 AUTUMN TERRACE DR |
| City | WHITE MARSH |
| State | MD |
| Zip Code | 21162-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250191 | Michael Nwandu Dnp, Pmhnp-bc, LLC | Clinic/Center | 5702 Country Farm Road, White Marsh, MD 21162 | 2020-06-17 |
| 1104168590 | Justin Ryan Brooks | General Practice | 11500 Lipscomb Way, White Marsh, MD 21162 | 2013-03-23 |
| 1841410974 | Glenn Paul Miller | Dentist | 11550 Philadelphia Road Suite #118, Whitemarsh, MD 21162 | 2007-04-30 |
| 1063722700 | White Marsh Healthcare Physical Medicine LLC | Chiropractor | 5430 Campbell Blvd., Ste. 106, White Marsh, MD 21162 | 2010-10-15 |
| 1295881597 | Sandra Shih | Dentist | 5430 Campbell Blvd, Suite 209, White Marsh, MD 21162 | 2007-01-27 |
| 1487769915 | Lorraine Ofori-awuah Md Pa | Clinic/Center | 5430 Campbell Blvd, Ste 214, White Marsh, MD 21162 | 2006-08-21 |
| 1275164139 | Maria Lourdes Evangelista | Nurse Practitioner | 5728 Fieldcrest Dr, White Marsh, MD 21162-1143 | 2020-01-30 |
| 1730669771 | Marilyn C Hernandez | Nurse Practitioner | 5700 Fieldcrest Dr, White Marsh, MD 21162-1143 | 2018-08-20 |
| 1639635584 | Rebecca Dawn Rock | Social Worker | 5717 Fieldcrest Dr, White Marsh, MD 21162-1144 | 2019-02-15 |
| 1508245564 | Watermark Health Services LLC | Home Health | 11511 Ridgedale Dr, White Marsh, MD 21162-1146 | 2015-05-23 |
| Find all providers in zip 21162 | ||||
| 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 |
|---|---|---|---|---|
| 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 | WHITE MARSH |
| Zip Code | 21162 |
Please comment or provide details below to improve the information on MR. FAMOUS IWINOSA OSASUYI.
| 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.