Home Care Medical, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

HOME CARE MEDICAL, LLC

Practice address

8407 Main St
Ellicott City, MD 21043-4867

Phone

(410) 715-1978

NPI assigned

Feb 12, 2020

Organization subpart

No

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

Authorized official

Name

Ditta Allen

Title

Owner

Phone

(410) 715-1978

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1144852609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 MAIN ST",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 MAIN ST",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434867",
            "telephone_number": "410-715-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DITTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-715-1978"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Camille Paige Holly
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• Ellen Holtz, PMHNP-BC
• Home Care Medical, LLC
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• Isaac Hong, OMD
• Marybeth Hong
• Sang Kwon Hong, L.AC.

• Adult Health Nurse Practitioner in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.