Organization Active NPI

P-B Health Home Care Agency, Inc.

Doing business as P-B Health

  • Home Health Agency
  • Baltimore, MD
National Provider Identifier
1114911229
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HH7134 Issued in MD
Legal business name
P-B HEALTH HOME CARE AGENCY, INC.
Doing business as
P-B Health
Practice address
4701 Mount Hope Dr Ste B
Baltimore, MD 21215-3213
Phone
(410) 235-1060
Fax
(410) 235-1309
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Ms. Lena Woody
Title
Corporate Project Manager
Phone
(410) 235-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HH7134 MD Primary

Addresses

Primary practice location

4701 Mount Hope Dr Ste B
Baltimore, MD 21215-3213

Mailing address

4701 Mount Hope Dr Ste B
Baltimore, MD 21215-3246
Phone (410) 235-1060

Other identifiers 1

IdentifierTypeStateIssuer
289283900MedicaidMD

Other names 2

  • P-B Health Doing business as
  • P-B Health Home Care/Hospice Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

2535 Saint Paul St
Baltimore, MD 21218
Phone (410) 235-1060

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Aug 20, 2023 Change of OwnershipThis provider was the seller Adoration Home Health BaltimoreCCN 217134, MD, NPI 1912692484

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1114911229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 MOUNT HOPE DR STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153246",
            "telephone_number": "410-235-1060",
            "fax_number": "410-235-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 MOUNT HOPE DR STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153213",
            "telephone_number": "410-235-1060",
            "fax_number": "410-235-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P-B HEALTH HOME CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "CORPORATE PROJECT MANAGER",
        "authorized_official_telephone_number": "410-235-1060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "HH7134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289283900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P-B Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "P-B Health Home Care/Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.