Organization
FOREVER HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN ANN SUBASIC PHD, OTR/L, CPAS (OCCUPATIONAL THERAPIST)
(410) 812-1916
Entity
Organization
Contact information
Practice address
1324 RAYVILLE RD, PARKTON, MD 21120-9056
(443) 212-5340
Mailing address
PO BOX 652, MONKTON, MD 21111-0652
(410) 812-1916
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
04200
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4245806
—
MD
Enumeration date
01/22/2018
Last updated
01/22/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up