Active NPI
First Source Caregivers LLC
- Home Health Agency
- Waldorf, MD
National Provider Identifier
1275098246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FIRST SOURCE CAREGIVERS LLC
- Practice address
- 10994 Oswestry St Ste 2020
Waldorf, MD 20603-4886 - Phone
- (240) 346-2980
- NPI assigned
- Feb 4, 2019
- 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
- Victoria Stewart- Cole
- Title
- Owner/Administrator
- Phone
- (240) 464-1982
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
10994 Oswestry St Ste 2020
Waldorf, MD 20603-4886
Mailing address
3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231
Phone (240) 346-2980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251E00000X | Other | MD | HOME HEALTH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1275098246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3261 OLD WASHINGTON RD STE 2020",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023231",
"telephone_number": "240-346-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10994 OSWESTRY ST STE 2020",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034886",
"telephone_number": "240-346-2980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST SOURCE CAREGIVERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-04",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A",
"authorized_official_last_name": "STEWART- COLE",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "240-464-1982"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH",
"identifier": "251E00000X",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.