Home Primary Care, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HOME PRIMARY CARE, LLC

Practice address

6940 Clearwind Court
Baltimore, MD 21209

Phone

(410) 205-6525

Fax

(410) 602-5303

NPI assigned

Feb 19, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Albert Fuzayl, PA-CNPI 1548327919

Title

Managing Member

Phone

(410) 205-6525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Albert Y. Fuzayl, PA-C

  • Medical Physician Assistant
  • Baltimore, MD
  • NPI 1548327919
  Medicare reassignment Authorized official
• Stephen Leigh Kinney, MD

  • Adult Medicine Physician
  • Chevy Chase, MD
  • NPI 1972611051
  Medicare reassignment NPD

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1306186911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 CLEARWIND COURT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "410-205-6525",
            "fax_number": "410-602-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 CLEARWIND COURT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "410-205-6525",
            "fax_number": "410-602-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "FUZAYL",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-205-6525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Health Care Services LLC
• Home Health Connection, Inc
• Home Health Connection, Inc.
• Home Healthcare Network
• Home Physicians Baltimore, PC
• Home Safe Home LLC
• Homecall, Inc
• Homecare With Audrey
• Homecentris Community Care, LLC
• Homecentris Community Care, LLC

• Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.