Organization Active NPI

Individual Home Care LLC

  • In Home Supportive Care Agency
  • Baltimore, MD
National Provider Identifier
1417667015
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INDIVIDUAL HOME CARE LLC
Practice address
4904 Harford Rd
Ste 102
Baltimore, MD 21214-2936
Phone
(443) 750-3100
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Evgeny Galatyuk
Title
Ownre/President
Phone
(610) 908-4455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

4904 Harford Rd
Ste 102
Baltimore, MD 21214-2936

Mailing address

4904 Harford Rd
Ste 102
Baltimore, MD 21214-2936

National Provider Directory

National Provider Directory

Locations

4904 Harford Rd
Ste 102
Baltimore, MD 21214
Phone (443) 750-3100

200 E Pratt St
Ste 466
Baltimore, MD 21202

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1417667015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 HARFORD RD",
            "address_2": "STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 HARFORD RD",
            "address_2": "STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142936",
            "telephone_number": "443-750-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "GALATYUK",
        "authorized_official_first_name": "EVGENY",
        "authorized_official_title_or_position": "OWNRE/PRESIDENT",
        "authorized_official_telephone_number": "610-908-4455"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.