EYEROSIE LLC (NPI# 1922537067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922537067 |
| Entity Type | Organization |
| Organization Name | EYEROSIE LLC |
| Practice Address |
4500 Forbes Blvd Ste 200 Lanham MD 20706-6316 |
| Practice Telephone | (443) 741-8920 |
| Practice Fax Number | 4432032617 |
| Mailing Telephone | 4437418920 |
| Mailing Fax Number | 4432032617 |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2017-06-11 |
| Authorized Official Name | SIDDIQUI HERNANDEZ (OWNER) |
| Authorized Official Telephone | 4437418920 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
R205786 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | STATE LICENSE | R205786 | 01 |
| Street Address |
4500 FORBES BLVD STE 200 |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-6316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518033588 | Phyllis Martin-davis | Counselor | 4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316 | 2006-11-28 |
| 1255932166 | Jennifer Ross | Social Worker | 4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316 | 2020-11-06 |
| 1528669959 | Monique Sylvia Fisher | Social Worker | 4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316 | 2020-11-03 |
| 1174142715 | Legacy Counseling Services, LLC | Counselor | 4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316 | 2020-04-14 |
| 1942835533 | Alpha Bah | Registered Nurse | 4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316 | 2020-03-04 |
| 1700445855 | Pmd Cares LLC | Social Worker | 4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316 | 2019-06-12 |
| 1194282020 | Destined Home Care Services, LLC | Home Health | 4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316 | 2019-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266649 | First Choice Fountain Care | Clinic/Center | 8919 91st Pl, Lanham, MD 20706-1911 | 2020-08-19 |
| 1578036521 | Alphonso Lewis | Clinic/Center | 10104 Senate Dr Ste 228, Lanham, MD 20706-4395 | 2019-01-02 |
| 1346740511 | Delight Healthcare Services, Inc | Clinic/Center | 9470 Annapolis Rd # 114, Lanham, MD 20706-3025 | 2018-02-14 |
| 1538367669 | Eelssen International, LLC | Clinic/Center | 4200 Forbes Blvd Ste 202, Lanham, MD 20706-4829 | 2007-07-10 |
| 1851348536 | Alek's House, LLC | Clinic/Center | 4200 Forbes Blvd, Ste 104, Lanham, MD 20706-4342 | 2006-05-28 |
| 1831759984 | Abundant Healthcare Services Inc | Clinic/Center | 9831 Greenbelt Rd Ste 103, Lanham, MD 20706-6224 | 2019-06-19 |
| 1821568122 | Metropolitan Behavioral Health Services, Inc | Clinic/Center | 5900 Princess Garden Pkwy Ste 670, Lanham, MD 20706-2957 | 2018-11-29 |
| 1366927774 | Win Team, LLC | Clinic/Center | 10001 Derekwood Ln Ste 210, Lanham, MD 20706-4865 | 2018-10-02 |
| 1275024960 | Echo Therapy Services, LLC | Clinic/Center | 6944 Nashville Rd, Lanham, MD 20706-4614 | 2018-05-29 |
| 1073053039 | Metropolitan Behavioral Health Services | Clinic/Center | 5900 Princess Garden Pkwy, Suite 670, Lanham, MD 20706-2925 | 2017-02-24 |
| Find all providers in LANHAM | ||||
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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.