Organization Active NPI

P-B Health Home Care Agency, Inc.

  • Community Based Hospice Care Agency
  • Baltimore, MD
National Provider Identifier
1306496112
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
P-B HEALTH HOME CARE AGENCY, INC.
Practice address
4701 Mount Hope Dr
Baltimore, MD 21215-3246
Phone
(410) 235-1060
Fax
(410) 235-1309
NPI assigned
Sep 13, 2019
Organization subpart
Yes
Parent organization
P-B HEALTH HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Lena Marguerite Woody, DO
Title
Corporate Project Manager
Phone
(410) 235-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4701 Mount Hope Dr
Baltimore, MD 21215-3246

Mailing address

P-B Health Hospice
4701 Mt Hope Drive Suite B
Baltimore, MD 21215-3246
Phone (410) 235-1060

Other names 1

  • P-B Health Hospice Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
P-B Health Home Care Agency Inc

Locations

4701 Mount Hope Dr
Baltimore, MD 21215
Phone (410) 235-1060

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Aug 20, 2023 Change of OwnershipThis provider was the seller Adoration HospiceCCN 211545, MD, NPI 1629763198

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1306496112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P-B HEALTH HOSPICE",
            "address_2": "4701 MT HOPE DRIVE SUITE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153246",
            "telephone_number": "410-235-1060",
            "fax_number": "410-235-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 MOUNT HOPE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153246",
            "telephone_number": "410-235-1060",
            "fax_number": "410-235-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P-B HEALTH HOME CARE AGENCY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "P-B HEALTH HOSPICE",
        "enumeration_date": "2019-09-13",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "LENA",
        "authorized_official_middle_name": "MARGUERITE",
        "authorized_official_title_or_position": "CORPORATE PROJECT MANAGER",
        "authorized_official_telephone_number": "410-235-1060",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P-B Health Hospice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "P-B Health Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.