Homecentris Community Care, LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

HOMECENTRIS COMMUNITY CARE, LLC

Practice address

3430 Associated Way
4TH Floor
Owings Mills, MD 21117

Phone

(410) 356-4779

Fax

(410) 415-1137

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Timothy Joseph Trybus

Title

Cfo

Phone

(410) 486-5330

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Karen Patrice Brown-Cornish, P.T.

  • Physical Therapist
  • Baltimore, MD
  • NPI 1245508936
  NPD (past)
• Carol Susan Thelen, NP

  • Nurse Practitioner
  • Baltimore, MD
  • NPI 1316371552
  NPD (past)

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1528477809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CROSSROADS DR",
            "address_2": "SUITE 110",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175458",
            "telephone_number": "410-486-5330",
            "fax_number": "410-486-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 ASSOCIATED WAY",
            "address_2": "4TH FLOOR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-356-4779",
            "fax_number": "410-415-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECENTRIS COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "TRYBUS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-486-5330"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home With You LLC
• Home Xrays Imaging Services LLC
• Home Xrays Imaging Services LLC
• Homecare Maryland, LLC
• Homecentris Community Care, LLC
• Homecentris Home Health II, LLC
• Homecentris Personal Care, LLC
• Homestead Health Services Inc.
• Erin K. Hong, D.O.
• Michael Seijong Hong, MD

• Community Health Clinic/Center in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Community Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.