Active NPI
Care24Group LLC
Doing business as Shepherds Staff
- In Home Supportive Care Agency
- Frederick, MD
National Provider Identifier
1215798095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CARE24GROUP LLC
- Doing business as
- Shepherds Staff
- Practice address
- 205 Broadway St Ste 210
Frederick, MD 21701-6761 - Phone
- (301) 304-9147
- NPI assigned
- Jan 19, 2024
- 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. Tadiwa Titus Young
- Title
- Vice President, Cfo
- Phone
- (571) 492-1603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
205 Broadway St Ste 210
Frederick, MD 21701-6761
Mailing address
205 Broadway St Ste 210
Frederick, MD 21701-6761
Phone (301) 304-9147
Other names 1
- Shepherds Staff
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2345664 | Care24Group LLC Dba Shepherds Staff | Certificate of waiver | Jun 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
205 Broadway St
Ste 210
Frederick, MD 21701
Phone (301) 304-9147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1215798095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BROADWAY ST STE 210",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016761",
"telephone_number": "301-304-9147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 BROADWAY ST STE 210",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016761",
"telephone_number": "301-304-9147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE24GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-19",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "TADIWA",
"authorized_official_middle_name": "TITUS",
"authorized_official_title_or_position": "VICE PRESIDENT, CFO",
"authorized_official_telephone_number": "571-492-1603",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shepherds Staff",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frederick, MD
- Care for Me Home Care Service
- Care Health Services
- Care Medica Pharmacy LLC (Care Medica Pharmacy)
- Care Plus of Frederick LLC (Interim Health Care of Frederick)
- Care With Compassion, Inc. (BrightStar Care of Carroll and Frederick County)
- Careride Medical Transport L.L.C.
- Caroline Carey, LCPC
- Victoria Carey, SLP
- Caring Hearts Mental Health Services
- Kristen T Carithers, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.