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MEDICAID PERSONAL PROVIDERS
NPI 1417036120
Home Health in Silver Spring, MD

Active since November 03, 2006
8555 16TH ST STE 105, SILVER SPRING, MD 20910(301) 495-6330(301) 495-6332 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2022, Apr 25, 2019, Feb 23, 2017 (3 updates tracked since 2017).

About Medicaid Personal Providers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAID PERSONAL PROVIDERS (NPI 1417036120) is a healthcare organization registered as a home health in Silver Spring, Maryland and active in the NPI registry since November 2006. The organization lists David Ellwood Greene, Administrator, as its authorized official.

NPPES Registry Identity

NPI1417036120
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMEDICAID SERVICE, LLC
Location Address8555 16TH ST STE 105Silver Spring, MD 20910-2802
Mailing Address8555 16th St Ste 105Silver Spring, MD 20910-2802 · (301) 495-6330 · Fax (301) 495-6332
Phone(301) 495-6330
Fax(301) 495-6332
Organization SubpartNo
Authorized OfficialDavid Ellwood GreeneAdministrator · (301) 495-6330
Enumeration DateNovember 3, 2006
Last NPPES UpdateJuly 20, 20223 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
✔ NPI 1417036120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MD · R2091
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
8555 16TH ST STE 105, Silver Spring, MD 20910
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Other Names 2

Doing Business AsMedicaid Personal Providers
Doing Business AsMedicaid Personal Providers, Llc

Other Identifiers 1

Medicaid474472100MD

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDICAID PERSONAL PROVIDERS, LLC
Home Health
8555 16TH ST STE 105
SILVER SPRING, MD 20910
Montgomery County (301) 495-6330
MEDICAID PERSONAL PROVIDERS, LLC
Skilled Nursing Facility
8555 16TH ST STE 105
SILVER SPRING, MD 20910
Montgomery County (301) 495-6330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medicaid Service, LLC's NPI number?

The NPI number for Medicaid Service, LLC is 1417036120. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Medicaid Personal Providers and Medicaid Personal Providers, LLC.

Where is Medicaid Service, LLC located?

Medicaid Service, LLC is located at 8555 16th St Ste 105, Silver Spring, MD 20910. The listed phone number is (301) 495-6330.

What is Medicaid Service, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Medicaid Service, LLC was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.