CLOSUP I, INC. (NPI# 1962484857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962484857 |
| Entity Type | Organization |
| Organization Name | CLOSUP I, INC. |
| Other Organization Name | EDENTON RETIREMENT COMMUNITY |
| Practice Address |
5800 Genesis Ln Frederick MD 21703-5116 |
| Practice Telephone | 3016943100 |
| Practice Fax Number | 3016940745 |
| Mailing Telephone | 3016943100 |
| Mailing Fax Number | 3016940745 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. RAEANN E. BUTLER (ADMINISTRATOR) |
| Authorized Official Telephone | 3016943100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 10AL021 | MD | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | 10AL011 | MD | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Edenton Retirement Community | Doing Business As Name - Organization |
| Street Address |
5800 GENESIS LN |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427059435 | T.j Rock Enterprises, Inc. | Skilled Nursing Facility | 5800 Genesis Ln, Frederick, MD 21703-5116 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302491 | Snh Md Tenant LLC | Assisted Living Facility | 2100 Whittier Dr, Frederick, MD 21702-3150 | 2019-08-23 |
| 1962693606 | Twenty Pack Management Corp. | Assisted Living Facility | 990 Waterford Dr, Frederick, MD 21702-4414 | 2007-08-07 |
| 1265592166 | Frederick Heritage Partners, LLC | Assisted Living Facility | 2100 Whittier Drive, Frederick, MD 21702 | 2006-12-11 |
| 1932143773 | Five Star Quality Care - Md, LLC | Assisted Living Facility | 1820 Latham Dr, Frederick, MD 21701-9393 | 2006-06-15 |
| 1730737107 | Snh Md Tenant LLC | Assisted Living Facility | 2100 Whittier Dr, Frederick, MD 21702-3150 | 2019-08-29 |
| 1780231746 | Snh Md Tenant LLC | Assisted Living Facility | 1820 Latham Dr, Frederick, MD 21701-9395 | 2019-08-23 |
| 1972869410 | Frederick Operating, LLC | Assisted Living Facility | 6441 Jefferson Pike, Frederick, MD 21703-7039 | 2012-04-10 |
| 1841563137 | Country Meadows of Frederick | Assisted Living Facility | 5955 Quinn Orchard Rd, Frederick, MD 21704-6656 | 2012-02-16 |
| 1033481072 | Tranquillity At Fredericktowne | Assisted Living Facility | 6441 Jefferson Pike, Frederick, MD 21703-7039 | 2012-02-07 |
| 1649328444 | Frederick Heritage Partners, LLC | Assisted Living Facility | 2100 Whittier Drive, Frederick, MD 21702 | 2007-01-08 |
| Find all providers in FREDERICK | ||||
Please comment or provide details below to improve the information on CLOSUP I, INC..
| 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.