NPIMap

Organization Active NPI

Homesafe for Seniors LLC

  • Home Health Agency
  • Baltimore, MD
National Provider Identifier
1770045908
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOMESAFE FOR SENIORS LLC
Practice address
5908 Edna Ave
Baltimore, MD 21214-1805
Phone
(443) 473-2030
NPI assigned
Apr 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Authorized official

Name
Amy Young, OTR/L, CEAC, CAPS
Title
Owner
Phone
(443) 473-2030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5908 Edna Ave
Baltimore, MD 21214-1805

Mailing address

4901 Harford Road, #3524
Baltimore, MD 21214
Phone (443) 473-2030

Other identifiers 2

IdentifierTypeStateIssuer
7777221MedicaidMD
1810162MedicaidMD

Other names 1

  • Home Safe Home of Maryland LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

4901 Harford Rd
Unit 3524
Baltimore, MD 21214

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1770045908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 HARFORD ROAD, #3524",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21214",
            "telephone_number": "443-473-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 EDNA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141805",
            "telephone_number": "443-473-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESAFE FOR SENIORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-473-2030",
        "authorized_official_credential": "OTR/L, CEAC, CAPS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7777221",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1810162",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Safe Home of Maryland LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 5, 2019; 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.