Organization
MEDICAID SERVICE, LLC
Active
Other names
Medicaid Personal Providers, Medicaid Personal Providers, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ELLWOOD GREENE (ADMINISTRATOR)
(301) 495-6330
Entity
Organization
Contact information
Practice address
8555 16TH ST STE 105, SILVER SPRING, MD 20910-2802
(301) 495-6330
(301) 495-6332
Mailing address
8555 16TH ST STE 105, SILVER SPRING, MD 20910-2802
(301) 495-6330
(301) 495-6332
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2091
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474472100
—
MD
Enumeration date
11/03/2006
Last updated
07/20/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us