Entity Information

MEDICAID PERSONAL PROVIDERS, LLC
DBA: MEDICAID PERSONAL PROVIDERS LLC

Active
UEI CAGE Website

Addresses

Physical Address
8555 16TH ST
8555 16TH ST
SILVER SPRING, MD 20910
UNITED STATES OF AMERICA
Mailing Address
8555 16TH ST
STE 105
SILVER SPRING, MD 20910
UNITED STATES OF AMERICA

Business Type

BLACK AMERICAN OWNED
FOR PROFIT ORGANIZATION
LIMITED LIABILITY COMPANY
MINORITY-OWNED BUSINESS
SELF CERTIFIED SMALL DISADVANTAGED BUSINESS

NAICS Codes

Code
Description
HOME HEALTH CARE SERVICES (PRIMARY NAICS)
OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS
ALL OTHER OUTPATIENT CARE CENTERS
NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
OTHER RESIDENTIAL CARE FACILITIES
OTHER INDIVIDUAL AND FAMILY SERVICES
ADMINISTRATION OF PUBLIC HEALTH PROGRAMS

Contacts

Type
Person
PRIMARY
DAVID E GREENE (ADMINISTRATOR)
ALTERNATE
ALPHA BAYOH (IT MANAGER)
PAST PERF.
ELIZABETH TEGEGNE (OFFICE MANAGER)
PAST PERF. ALT.
TERRENCE ONDERECK (SOCIAL WORKER)
ELECTRONIC
DAVID E GREENE (ADMINISTRATOR)
ELECTRONIC ALT.
ALPHA BAYOH (IT MANAGER)