Bestcare Home Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

R4174 Issued in MD

Legal business name

BESTCARE HOME INC

Practice address

10617 Duthess Way
Woodstock, MD 21163

Phone

(443) 677-2039

Fax

(410) 465-3891

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

Soung H Park

Title

Ceo

Phone

(443) 677-2039

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• bestcare home inc Doing business as

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1831680958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10617 DUTHESS WAY",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "21163",
            "telephone_number": "443-677-2039",
            "fax_number": "410-465-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10617 DUTHESS WAY",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "21163",
            "telephone_number": "443-677-2039",
            "fax_number": "410-465-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESTCARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SOUNG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-677-2039"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R4174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45-4992152",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R4174",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bestcare home inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "bestcare home inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Woodstock, MD
• Providers in Woodstock, MD by specialty
• In Home Supportive Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.