Still Waters Health Systems LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

STILL WATERS HEALTH SYSTEMS LLC

Practice address

3030 Greenmount Ave Ste 150
Baltimore, MD 21218-6935

Phone

(443) 822-2970

NPI assigned

Nov 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jamiu Ahmed

Title

Owner

Phone

(410) 202-1094

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Still Waters Health Systems LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Still Waters Health Systems LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1598580920
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Suzette Latney, LCSW-C

  • Clinical Social Worker
  • Owings Mills, MD
  • NPI 1003083403
  Medicare reassignment NPD
• Terrill McKnight, LGPC

  • Professional Counselor
  • Glen Burnie, MD
  • NPI 1245869148
  Medicare reassignment NPD
• Aanu Elizabeth Olorunsola

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1659926475
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1376368704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 GREENMOUNT AVE STE 150",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186935",
            "telephone_number": "443-822-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 GREENMOUNT AVE STE 150",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186935",
            "telephone_number": "443-822-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "JAMIU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-202-1094"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Andrew Stierer Sr., MD
• Tracey Stierer, M.D.
• William Stiers, PH.D.
• Kianna Stiffler, DPT
• Cierra Stigelman
• Still Waters Health Systems LLC
• Virginia Michelle Stiller
• Ann S Stilwell, CRNP
• Thy Ma Stimac, OTR/L
• Darren Scott Stimpfle

• Rehabilitation Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.