Active NPI
Great Home Care Agency
- Home Health Agency
- Abingdon, MD
National Provider Identifier
1255048468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GREAT HOME CARE AGENCY
- Practice address
- 3012 Raking Leaf Dr
Abingdon, MD 21009-2647 - Phone
- (443) 317-7010
- NPI assigned
- Oct 28, 2022
- 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. Kwabena Osei Antwi
- Title
- Manager
- Phone
- (443) 317-7010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3012 Raking Leaf Dr
Abingdon, MD 21009-2647
Mailing address
3012 Raking Leaf Dr
Abingdon, MD 21009-2647
Phone (443) 317-7010
Other practice location 1
3012 Raking Leaf Dr
Abingdon, MD 21009-2647
Phone (443) 317-7010
Other names 1
- Great Care Staffing LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666915200000",
"number": "1255048468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 RAKING LEAF DR",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210092647",
"telephone_number": "443-317-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 RAKING LEAF DR",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210092647",
"telephone_number": "443-317-7010"
}
],
"practiceLocations": [
{
"address_1": "3012 Raking Leaf Dr",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "MD",
"postal_code": "210092647",
"country_code": "US",
"telephone_number": "443-317-7010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GREAT HOME CARE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-28",
"last_updated": "2022-10-28",
"certification_date": "2022-10-25",
"status": "A",
"authorized_official_last_name": "ANTWI",
"authorized_official_first_name": "KWABENA",
"authorized_official_middle_name": "OSEI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "443-317-7010",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Great Care Staffing LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Abingdon, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.