Organization Active NPI

Andersons Community Healthcare Services Inc

  • Developmentally Disabled Services Day Training Agency
  • Frederick, MD
National Provider Identifier
1568794790
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
R156712 Issued in MD
Legal business name
ANDERSONS COMMUNITY HEALTHCARE SERVICES INC
Practice address
4727 Verdana Loop
Frederick, MD 21703
Phone
(240) 643-0441
Fax
(866) 827-3870
NPI assigned
Feb 15, 2010
Last updated
Aug 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Authorized official

Name
Mrs. Elizabeth Elviria Anderson, R.N., BSNNPI 1841522109
Title
Ceo/Director of Nursing
Phone
(240) 643-0441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X R156712 MD
Case Management Agency 251B00000X R156712 MD
Case Management Agency 251B00000X RN1004478 DC
Developmentally Disabled Services Day Training Agency 251C00000X R156712 MD Primary
Developmentally Disabled Services Day Training Agency 251C00000X RN1004478 DC
Nursing Care Agency 251J00000X RN1004478 DC
Community/Behavioral Health Agency 251S00000X R156712 MD
Community/Behavioral Health Agency 251S00000X RN1004478 DC

Addresses

Primary practice location

4727 Verdana Loop
Frederick, MD 21703

Mailing address

4727 Verdana Loop
Frederick, MD 21703
Phone (240) 643-0441

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1568794790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 VERDANA LOOP",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21703",
            "telephone_number": "240-643-0441",
            "fax_number": "866-827-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 VERDANA LOOP",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21703",
            "telephone_number": "240-643-0441",
            "fax_number": "866-827-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSONS COMMUNITY HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ELVIRIA",
        "authorized_official_title_or_position": "CEO/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "240-643-0441",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N., BSN"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R156712",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MD",
            "license": "R156712",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "DC",
            "license": "RN1004478",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MD",
            "license": "R156712",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "DC",
            "license": "RN1004478",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "DC",
            "license": "RN1004478",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "R156712",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "RN1004478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.