HOUSE OF THE GOOD SHEPHERD CORPORATION (NPI# 1942570353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942570353 |
Entity Type | Organization |
Organization Name | HOUSE OF THE GOOD SHEPHERD CORPORATION |
Other Organization Name | GOOD SHEPHERD SCHOOL |
Practice Address |
4100 Maple Ave Baltimore MD 21227-4007 |
Practice Telephone | 4102472770 |
Mailing Telephone | 4102472770 |
Enumeration Date | 2012-01-03 |
Last Update Date | 2012-01-03 |
Authorized Official Name | DR. DERRICK BOONE (CEO) |
Authorized Official Telephone | 4102472770 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251300000X | Local Education Agency (LEA) | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 427825900 | 05 |
Other Name | Type Code |
---|---|
Good Shepherd School | Other Name - Individual/Organization |
Street Address |
4100 MAPLE AVE |
City | BALTIMORE |
State | MD |
Zip Code | 21227-4007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891117156 | Francesca Sciscenti | Social Worker | 4100 Maple Ave, Baltimore, MD 21227-4007 | 2014-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528622024 | Kim Conaway | Counselor | Regenerations Counseling Services, 1421 S. Canton Street, Baltimore, MD 21227 | 2019-04-30 |
1861974891 | Joan Lynn Indilisano | Occupational Therapist | 3320 Benson Avenue, Baltimore, MD 21227 | 2018-09-06 |
1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
1447779699 | Aja Williams | Registered Nurse | 3902 Annapolis Rd., Halethorpe, MD 21227 | 2017-09-19 |
1588190748 | Mentor-maryland | Community/Behavioral Health | 1540 Caton Center Drive, Halethorpe, MD 21227 | 2017-05-10 |
1083084180 | Institute for Family Centered Services | Community/Behavioral Health | 1540 Caton Centered Drive, Suite F, Baltimore, MD 21227 | 2015-10-01 |
1174913677 | Wye Oak Clinic, Inc. | Marriage & Family Therapist | 1937 Lansdowne Rd, Halethorpe, MD 21227 | 2015-02-04 |
1588938237 | Ahmein Watson | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227 | 2012-02-28 |
1336442656 | Norah Orise Osian | Pharmacist | Rite Aid Pharmacy, 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2010-12-08 |
1366759623 | Een J Lee | Pharmacist | 1400 Sulphurspring Rd, Baltimore, MD 21227 | 2010-09-08 |
Find all providers in zip 21227 |
Taxonomy Code | 251300000X |
Grouping | Agencies |
Classification | Local Education Agency (LEA) |
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760847875 | Juvenile Services Education | Local Education Agency (LEA) | 200 W Baltimore St, Baltimore, MD 21201-2549 | 2015-12-17 |
1396124129 | Specialized Education of Md, Inc. | Local Education Agency (LEA) | 900 Druid Hill Ave, Baltimore, MD 21201-1207 | 2015-05-26 |
1639558554 | Specialized Education of Md, Inc. | Local Education Agency (LEA) | 7707 German Hill Rd, Baltimore, MD 21222-1525 | 2015-05-26 |
1881922490 | Goodwill Industries of The Chesapeake, Inc | Local Education Agency (LEA) | 2211 Maryland Ave, Baltimore, MD 21218-5627 | 2009-11-20 |
1477798726 | Liberty Union Thurston Schools | Local Education Agency (LEA) | 1108 South Main Street, Baltimore, OH 43105 | 2008-12-15 |
1336349828 | Goodwill Indrustries of The Chesapeake, Inc | Local Education Agency (LEA) | 222 E Redwood St, Baltimore, MD 21202-3312 | 2007-07-23 |
1730200049 | St Elizabeth School | Local Education Agency (LEA) | 801 Argonne Dr, Baltimore, MD 21218-1943 | 2007-04-03 |
1497892194 | Family Advocacy Services, LLC | Local Education Agency (LEA) | 20 E Franklin St, Baltimore, MD 21202-2204 | 2007-01-31 |
1104366640 | On The Flip Side, Inc. | Local Education Agency (LEA) | 3739 Wilkens Ave, Baltimore, MD 21229-5035 | 2017-03-02 |
1922481332 | The Seed School of Maryland, Inc. | Local Education Agency (LEA) | 200 Font Hill Ave, Baltimore, MD 21223-2703 | 2015-07-02 |
Find all providers in BALTIMORE |
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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.