Organization Active NPI

Home Care Medical, LLC

  • Adult Health Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1861023525
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
HOME CARE MEDICAL, LLC
Practice address
8407 Main St
Ellicott City, MD 21043-4867
Phone
(410) 715-1978
NPI assigned
Jan 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Ditta Allen, MSN, MSJ, CRNPNPI 1821542606
Title
Owner
Phone
(410) 715-1978

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

8407 Main St
Ellicott City, MD 21043-4867

Mailing address

8407 Main St
Ellicott City, MD 21043-4867
Phone (410) 715-1978

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.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1861023525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 MAIN ST",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434867",
            "telephone_number": "410-715-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 MAIN ST",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434867",
            "telephone_number": "410-715-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DITTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-715-1978",
        "authorized_official_credential": "MSN, MSJ, CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.