Active NPI
Grace Home Medical Equipment LLC
- Parenteral & Enteral Nutrition Supplies (DME)
- Glen Burnie, MD
National Provider Identifier
1104901453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- Legal business name
- GRACE HOME MEDICAL EQUIPMENT LLC
- Practice address
- 810 Cromwell Park Dr
Suite F
Glen Burnie, MD 21061 - Phone
- (410) 939-1212
- Fax
- (410) 939-5952
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark D Richardson
- Title
- President
- Phone
- (410) 939-1212
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | Primary | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
810 Cromwell Park Dr
Suite F
Glen Burnie, MD 21061
Mailing address
540 South Union Avenue
Havre de Grace, MD 21078
Phone (410) 939-1212
Other names 1
- Home MediService Inc
National Provider Directory
National Provider Directory- Tax ID family
- Grace Home Medical Equipment LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Havre de Grace, MD
- NPI 1942392139
Locations
810 Cromwell Park Dr
Ste F
Glen Burnie, MD 21061
Phone (410) 939-1212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104901453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 SOUTH UNION AVENUE",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "21078",
"telephone_number": "410-939-1212",
"fax_number": "410-939-5952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 CROMWELL PARK DR",
"address_2": "SUITE F",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "21061",
"telephone_number": "410-939-1212",
"fax_number": "410-939-5952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE HOME MEDICAL EQUIPMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-939-1212",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Home MediService Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.