Provider Demographics
| NPI: | 1518742451 |
|---|---|
| Name: | PLEASANT CARE THERAPIES, CORP |
| Entity Type: | Organization |
| Organization Name: | PLEASANT CARE THERAPIES, CORP |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | LISELIE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | WHITE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 240-481-9872 |
| Mailing Address - Street 1: | 1910 TOWNE CENTRE BLVD STE 250 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ANNAPOLIS |
| Mailing Address - State: | MD |
| Mailing Address - Zip Code: | 21401-3599 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 240-481-9872 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1910 TOWNE CENTRE BLVD STE 250 |
| Practice Address - Street 2: | |
| Practice Address - City: | ANNAPOLIS |
| Practice Address - State: | MD |
| Practice Address - Zip Code: | 21401-3599 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 240-481-9872 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-08-29 |
| Last Update Date: | 2024-01-08 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 253Z00000X | Agencies | In Home Supportive Care | ||
| No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
| No | 224ZE0001X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Environmental Modification | Group - Multi-Specialty |
| No | 224ZF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Feeding, Eating & Swallowing | Group - Multi-Specialty |
| No | 224ZL0004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Low Vision | Group - Multi-Specialty |
| No | 224ZR0403X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Driving and Community Mobility | Group - Multi-Specialty |
| No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty |
