Health Care Services of Maryland. LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R3592 Issued in MD

Legal business name

HEALTH CARE SERVICES OF MARYLAND. LLC

Practice address

1740 E Joppa Rd
Suite 206
Baltimore, MD 21234-3623

Phone

(443) 253-6712

Fax

(443) 290-4879

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Sunshine Nkeiruka Augusta, MBA.

Title

Director

Phone

(443) 253-6712

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1306234893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 E JOPPA RD",
            "address_2": "SUITE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343623",
            "telephone_number": "443-253-6712",
            "fax_number": "443-290-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E JOPPA RD",
            "address_2": "SUITE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343623",
            "telephone_number": "443-253-6712",
            "fax_number": "443-290-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE SERVICES OF MARYLAND. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "AUGUSTA",
        "authorized_official_first_name": "SUNSHINE",
        "authorized_official_middle_name": "NKEIRUKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-253-6712",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5861",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.