Organization Active NPI

A Blended Family Home Care, LLC

  • In Home Supportive Care Agency
  • Parkville, MD
National Provider Identifier
1780415885
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
A BLENDED FAMILY HOME CARE, LLC
Practice address
8713 Harford Rd
Parkville, MD 21234-4650
Phone
(443) 703-8345
Fax
(410) 305-6221
NPI assigned
Aug 10, 2024
Last updated
Jun 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Ms. Nicole Sherelle Queen, PMHNPNPI 1073238846
Title
Owner
Phone
(443) 703-8345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

8713 Harford Rd
Parkville, MD 21234-4650

Mailing address

3214 E Joppa Rd
Parkville, MD 21234-3307
Phone (443) 703-8345

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1780415885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 E JOPPA RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343307",
            "telephone_number": "443-703-8345",
            "fax_number": "410-305-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8713 HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344650",
            "telephone_number": "443-703-8345",
            "fax_number": "410-305-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BLENDED FAMILY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-10",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "SHERELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-703-8345",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.