Criss Home Health Care Services LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

CRISS HOME HEALTH CARE SERVICES LLC

Practice address

3935 Sadie Rd
Randallstown, MD 21133-4010

Phone

(302) 510-3610

Fax

(443) 792-0078

NPI assigned

Mar 23, 2023

Last updated

Sep 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Adenike M Mormah, MANAGING OWNER

Title

Sole Member

Phone

(302) 510-3610

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1043913585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 SADIE RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334010",
            "telephone_number": "302-510-3610",
            "fax_number": "443-792-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 SADIE RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334010",
            "telephone_number": "302-510-3610",
            "fax_number": "443-792-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISS HOME HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "MORMAH",
        "authorized_official_first_name": "ADENIKE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "302-510-3610",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MANAGING OWNER"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Randallstown, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.