OrganizationActive
Medicaid Service, LLC
NPI 1417036120 · Home Health Agency · Silver Spring, MD
Medicaid Service, LLC is a Home Health Agency organization in Silver Spring, MD (NPI 1417036120).
Provider details
- NPI number
- 1417036120
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- David Greene, Administrator(301) 495-6330
- License
- R2091 (MD)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8555 16th St Ste 105
Silver Spring, MD 20910-2802
Phone: (301) 495-6330
Fax: (301) 495-6332
Street-level locationGet directions
Mailing address
8555 16th St Ste 105
Silver Spring, MD 20910-2802
Other names (DBA / former)
- Doing business as
- Medicaid Personal Providers
- Doing business as
- Medicaid Personal Providers
- Doing business as
- Medicaid Personal Providers, LLC
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2022-07-20
- Certified
- 2022-07-20
Frequently asked questions
- What is Medicaid Service, LLC's NPI number?
- Medicaid Service, LLC's National Provider Identifier (NPI) is 1417036120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medicaid Service, LLC?
- Medicaid Service, LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Medicaid Service, LLC located?
- Medicaid Service, LLC's practice location on file with NPPES is 8555 16th St Ste 105, Silver Spring, MD 20910-2802.
- What is Medicaid Service, LLC's phone number?
- The practice phone number listed in the NPPES registry for Medicaid Service, LLC is (301) 495-6330.
- Who is the authorized official for Medicaid Service, LLC?
- The authorized official listed on Medicaid Service, LLC's NPPES record is David Greene, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medicaid Service, LLC's NPI active?
- Yes — Medicaid Service, LLC's NPI (1417036120) is active in the NPPES registry as of the last update on 2022-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.