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).
| 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 Salisbury 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 |
| Street Address | 12360 PALMETTO CHURCH RD |
| City | PRINCESS ANNE |
| State | MD |
| Zip Code | 21853-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489693 | Richard A. Renshaw | Specialist | 12360 Palmetto Church Rd, Princess Anne, MD 21853-4046 | 2020-02-17 |
| 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 Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912595588 | It'S Not Over | 1 E Chase St Ste 1121, Baltimore, MD 21202-2564 | 2021-01-08 | |
| 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 | ||||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538507298 | Palmetto Primary Care Physicians · Palmetto Primary Care Physicians Gastroenterology | Internal Medicine · Gastroenterology | 730 Stony Landing Rd, Ste. 200, Moncks Corner, SC 29461-2904 | 2013-06-04 |
| 1104866623 | Palmetto Primary Care Physicians | Family Medicine | 401 N Live Oak Dr, Ste. B, Moncks Corner, SC 29461-5603 | 2006-06-07 |
| 1336222884 | Palmetto Emergency Physicians, LLC | Clinic/Center · Emergency Care | 730 Stoney Landing Rd, Moncks Corner, SC 29461-2948 | 2006-10-20 |
| 1184663007 | Palmetto Primary Care Physicians | Family Medicine | 115 Executive Pkwy, Moncks Corner, SC 29461-3955 | 2006-06-06 |
| 1912931171 | Palmetto Bay Pharmacy Corp · Palmetto Bay Phcy and Discount | Pharmacy · Community/Retail Pharmacy | 17035 S Dixie Hwy, Palmetto Bay, FL 33157-4362 | 2006-07-11 |
| 1760681506 | Nra Palmetto Georgia LLC · Palmetto Dialysis Clinic | Clinic/Center · End-Stage Renal Disease (ESRD) Treatment | 500 Walnut Way, Palmetto, GA 30268-8611 | 2007-07-12 |
| 1457432478 | Palmetto Health · Palmetto Seniorcare | Clinic/Center | Palmetto Health, 15 Medical Park Drive Suite203, Columbia, SC 29203 | 2006-10-17 |
| 1417116278 | Palmetto Health · Palmetto Health Richland Enhance | Clinic/Center · Multi-Specialty | 3301 Harden Street, Palmetto Health, Columbia, SC 29210 | 2008-06-06 |
| 1497842686 | Thi of South Carolina At Moncks Corner, LLC · Magnolia Manor - Moncks Corner | Skilled Nursing Facility | 505 S Live Oak Dr, Moncks Corner, SC 29461-3553 | 2006-10-07 |
| 1720483886 | Palmetto Health · Healing Waters At Palmetto Health | Plastic Surgery | 300 Palmetto Health Pkwy, Suite 103, Columbia, SC 29212-1761 | 2014-10-30 |
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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.