Jewish Foundation For Group Homes | |
6101 Executive Blvd Ste 280 Rockville MD 20852-3910 | |
(240) 283-6000 | |
Not Available |
Full Name | Jewish Foundation For Group Homes |
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Speciality | Physical Therapist |
Location | 6101 Executive Blvd Ste 280, Rockville, Maryland |
Authorized Official Name and Position | Michele Lizear (DIRECTOR OF BUSINESS OFFICE) |
Authorized Official Contact | 2402836013 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jewish Foundation For Group Homes 6101 Executive Blvd Ste 100 Rockville MD 20852-3938 Ph: (240) 283-6000 | Jewish Foundation For Group Homes 6101 Executive Blvd Ste 280 Rockville MD 20852-3910 Ph: (240) 283-6000 |
NPI Number | 1275307746 |
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Provider Enumeration Date | 11/14/2023 |
Last Update Date | 06/22/2025 |
Certification Date | 06/22/2025 |
Medicare PECOS PAC ID | 2264879758 |
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Medicare Enrollment ID | O20240611001096 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275307746 | NPI | - | NPPES |
Provider Name | Rithu Moideenkutty |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1104340876 PECOS PAC ID: 7719318682 Enrollment ID: I20200508000486 |
Provider Name | Marcy Ann Schlissel |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104357953 PECOS PAC ID: 9931459732 Enrollment ID: I20210127002609 |
Provider Name | Samirna Esteve |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184107666 PECOS PAC ID: 5799182788 Enrollment ID: I20210917000395 |
Provider Name | Adeline Assani-uva |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1528626751 PECOS PAC ID: 3577894039 Enrollment ID: I20241111002569 |
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