Organization Active NPI

Great Home Care Agency

  • Home Health Agency
  • Abingdon, MD
National Provider Identifier
1255048468
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 28, 2022

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.