Medical Care at Home, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDICAL CARE AT HOME, LLC

Practice address

2005 Jolly Rd
Baltimore, MD 21209-1013

Phone

(410) 941-9040

NPI assigned

Aug 17, 2017

Last updated

Nov 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Slava Kreynovich, CRNPNPI 1265763155

Title

Nurse Practitioner

Phone

(410) 941-9040

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, and the practitioner matching its NPPES authorized official.

• Slava Kreynovich, NP-C

  • Family Nurse Practitioner
  • Towson, MD
  • NPI 1265763155
  Medicare reassignment NPD Authorized official
• Natalia Feigin

  • Nurse Practitioner
  • Baltimore, MD
  • NPI 1912391004
  Medicare reassignment NPD

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1467978866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 JOLLY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091013",
            "telephone_number": "14109419040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 JOLLY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091013",
            "telephone_number": "410-941-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "KREYNOVICH",
        "authorized_official_first_name": "SLAVA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-941-9040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.