Active NPI
Individual Home Care LLC
- In Home Supportive Care Agency
- Baltimore, MD
National Provider Identifier
1417667015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Personal Care Attendant | 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 DirectoryLocations
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.