WANDA ALISA SHIRD (NPI# 1104416593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104416593 |
| Entity Type | Individual |
| Full Name | WANDA ALISA SHIRD |
| Gender | Female |
| Practice Address | 4406 Belle Ave Baltimore MD 21207-7645 |
| Practice Telephone | 4435237964 |
| Mailing Address | 4406 Belle Ave Baltimore MD 21207-7645 |
| Mailing Telephone | 4435237964 |
| Certification Date | 2021-01-20 |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 30AL3878 | MD | Nursing & Custodial Care Facilities |
| Street Address | 4406 BELLE AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21207-7645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613373 | Keys Development Ta | Case Management | 7501 Liberty Rd Ste F/G, Keys Development Ta LLC., Gwynn Oak, MD 21207 | 2020-06-10 |
| 1891328431 | Day-By-Day Healthcare LLC | Home Health Aide | 6817 Fox Meadow Rd, Gwynnoak, Baltimore, MD 21207 | 2020-02-21 |
| 1366005944 | Lacey Murphy | Social Worker · Clinical | 6201 Liberty Road, Baltimore, MD 21207 | 2019-04-18 |
| 1811453368 | Pamela Powell | Social Worker · Clinical | 5025 Dickey Hill Rd, Baltimore, MD 21207 | 2019-02-20 |
| 1568932176 | Reflections Counseling & Consulting | Community/Behavioral Health | 6901 Brightway, Unit F, Gwynn Oak, MD 21207 | 2018-11-27 |
| 1255849394 | Therapetic Wellness Services | Community/Behavioral Health | 4909 Liberty Heights Ave, Baltimore, MD 21207 | 2018-01-10 |
| 1922525252 | Passionate Hands Transitional Housing | Clinic/Center · Mental Health (Including Community Mental Health Center) | 4711 Liberty Heights Avenue, Baltimore, MD 21207 | 2017-08-28 |
| 1528427689 | Stephen James Allen | Occupational Therapy Assistant | 4107 Liberty Heights Ave, Baltimore, MARYLAND 21207 | 2016-02-17 |
| 1255720439 | Dawn James | Counselor · Professional | 6401 Dogwood Road, Suite 201, Gwynn Oak, MD 21207 | 2015-01-12 |
| 1407251168 | Allcare International, Inc | Day Training, Developmentally Disabled Services | 3402 Milford Ave, Baltimore, MD 21207 | 2014-10-23 |
| Find all providers in zip 21207 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649862277 | Golden Assisted Living LLC | 5126 Chalgrove Ave, Baltimore, MD 21215-5127 | 2021-02-04 | |
| 1487243580 | Patrick A Francis | 3643 Reisterstown Rd, Baltimore, MD 21215-7701 | 2021-01-13 | |
| 1053908053 | Pride Assisted Living, LLC | 1003 Whatcoat St, Baltimore, MD 21217-2220 | 2020-12-23 | |
| 1871189985 | Divine Living Limited Liability Company | 202 E Lanvale St, Baltimore, MD 21202-2814 | 2020-12-14 | |
| 1427651892 | Dana Viola Holley | 821 W Cross St, Baltimore, MD 21230-2501 | 2020-11-18 | |
| 1720680077 | Sudia Corbin | 3835 Sequoia Ave, Baltimore, MD 21215-5405 | 2020-11-11 | |
| 1548862949 | Integrity-Esthers Place, LLC | 2926 Harford Rd, Baltimore, MD 21218-3142 | 2020-11-10 | |
| 1700486032 | Comfort At Home Care, LLC | 4628 Marble Hall Rd, Baltimore, MD 21239-3937 | 2020-10-27 | |
| 1740896182 | M&o Prestige Partnership LLC | 1805 Ashburton St, Baltimore, MD 21216-3538 | 2020-09-21 | |
| 1922612563 | Tracie Shirrelle Gambrill | 3029 Windsor Ave, Baltimore, MD 21216-2751 | 2020-09-01 | |
| Find all providers in BALTIMORE | ||||
| City | BALTIMORE |
| Zip Code | 21207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033468806 | Katrina Shird Clayton · Katrina Shird | Social Worker · Clinical | 8600 Lasalle Road, Chester Builing Suite 300, Towon, MD 21286 | 2012-09-07 |
| 1851576102 | Wanda Alisa Holmes | Nurse Practitioner · Family | Mile Maker 70, Hwy 41, Miami, FL 33144-0021 | 2008-01-07 |
| 1205873460 | Kim Shird | Counselor | 300 Summit St, Galena, IL 61036-1638 | 2006-05-31 |
| 1184039356 | Robert Shird | Military Health Care Provider · Independent Duty Corpsman | Uss Harry S Truman, Cvn 75, Fpo, AE 09524-2875 | 2014-06-26 |
| 1780232306 | Amie Lynn Shird | Licensed Vocational Nurse | 4030 Highway 6 S Ste 150, College Station, TX 77845-1808 | 2019-08-27 |
| 1316101611 | Lorna Shird | Psychologist | 1400 J R Lynch St, Department of Psychology, Jackson, MS 39217-0002 | 2008-07-15 |
| 1447729660 | Alisa D Groves · Alisa D Plante | Social Worker · Clinical | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2018-11-16 |
| 1336796044 | Alisa Nichols · Alisa Stone-Crawford | Pharmacist | 4625 E Maryland St, Decatur, IL 62521-5092 | 2019-08-19 |
| 1427456961 | Alisa D Dearmond · Alisa D Morgan | Nurse Practitioner · Family | 5383 State Route 154, Pinckneyville, IL 62274 | 2014-12-16 |
| 1760583330 | Alisa Drapeaux · Alisa Schons | Physical Therapist | 1555 Se Delaware Ave, Suite M, Ankeny, IA 50021-4011 | 2006-09-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.