Organization Active NPI

Montgomery Home Care Services LLC

  • In Home Supportive Care Agency
  • Rockville, MD
National Provider Identifier
1235469586
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
R2852R Issued in MD
Legal business name
MONTGOMERY HOME CARE SERVICES LLC
Practice address
1 Rosanne LN
Rockville, MD 20851-1563
Phone
(301) 460-1003
Fax
(240) 558-4117
NPI assigned
Jan 9, 2010
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Annette A Davis
Title
Executive Director
Phone
(301) 460-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X R2852R MD Primary

Addresses

Primary practice location

1 Rosanne LN
Rockville, MD 20851-1563

Mailing address

1 Rosanne LN
Rockville, MD 20851-1563

National Provider Directory

National Provider Directory
Tax ID family
Montgomery Home Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1235469586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROSANNE LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROSANNE LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511563",
            "telephone_number": "301-460-1003",
            "fax_number": "240-558-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-09",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-460-1003"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R2852R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.