Substance Abuse Rehabilitation Facility

Address: 12360 Palmetto Church Rd, Princess Anne, MD 21853-4046

PALMETTO CORNER, LLC (NPI# 1922639558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922639558
Entity Type Organization
Organization Name PALMETTO CORNER, LLC
Practice Address 12360 Palmetto Church Rd
Princess Anne
MD 21853-4046
Practice Telephone 4102510052
Mailing Address Po Box 3640
MD 21802-3640
Certification Date 2020-02-02
Enumeration Date 2020-02-02
Last Update Date 2020-02-02
Authorized Official Telephone 4102510052
Is Organization Subpart N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Office Location

Street Address 12360 PALMETTO CHURCH RD
State MD
Zip Code 21853-4046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407489693 Richard A. Renshaw Specialist 12360 Palmetto Church Rd, Princess Anne, MD 21853-4046 2020-02-17

Providers in the same city

NPI Name Taxonomy Address Enumeration
1548863186 Jason Matthew Maccannon Specialist/Technologist · Athletic Trainer College Backbone Rd, Princess Anne, MD 21853 2020-11-17
1588274773 Positive Reinforcements Inc. · Positive Reinforcements Inc. Counselor 30260 Mount Vernon Rd Unit 6, Princess Anne, MD 21853-2202 2020-08-03
1487263760 Patricia Ann Nativio Specialist/Technologist · Athletic Trainer University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 2020-07-23
1760003347 Lower Shore Clinic, Inc Community/Behavioral Health 11622 Beckford Ave, Princess Anne, MD 21853-1152 2020-05-05
1316574734 Grace Terrell Psychologist · School 13151 Loretto Rd, Princess Anne, MD 21853-3045 2020-03-25
1053947416 Community Behavioral Health, LLC Hospice Care, Community Based 30519 Prince William St Apt 1, Princess Anne, MD 21853-1246 2020-03-18
1679103741 Somerset Pt Clinic/Center · Physical Therapy 10840 Market Ln Ste 2, Princess Anne, MD 21853-3072 2020-01-17
1023658606 Bluntly Coached, LLC Social Worker · Clinical 30435 Mount Vernon Rd, Princess Anne, MD 21853-1437 2020-01-10
1205478013 Zachary Castell Counselor 30665 Student Services Center Lane, Princess Anne, MD 21853 2019-10-14
1780234021 Nathan Ryan Lewis Emergency Medicine · Emergency Medical Services 30049 Mount Vernon Rd, Princess Anne, MD 21853-2251 2019-09-18
Find all providers in PRINCESS ANNE

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and state

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1801482120 Amazing Place LLC 100 Harborview Dr Unit 403, Baltimore, MD 21230-5418 2020-12-21
1689260036 I Think Different Behavioral Health Services LLC 4200 Edmondson Ave Ste 100, Baltimore, MD 21229-1617 2020-12-18
1609471853 Healthy Lives, LLC 2716 Baker St, Baltimore, MD 21216-4002 2020-12-03
1134724875 Healthy Lives, LLC 2806 Harlem Ave, Baltimore, MD 21216-4719 2020-12-01
1699379768 American Psychiatric Group Pa 502 Chateau Ave, Baltimore, MD 21212-4305 2020-11-30
1871196915 Lawrence Recovery House 3415 W Franklin St, Baltimore, MD 21229-3054 2020-11-20
1366045585 Therapetic Wellness Services Corp 3330 Lyndale Ave, Baltimore, MD 21213-1610 2020-11-19
1841898434 Evolve Residential, LLC 394 Washington Ave, Glen Burnie, MD 21060-8712 2020-10-15
1477151066 Evolve Residential, LLC 486 Lincoln Dr, Glen Burnie, MD 21060-8706 2020-10-15
Find all providers in the same taxonomy


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Zip Code 21853

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Dataset Information

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.