Organization Active NPI

Forever Health Homecare LLC

  • Home Health Aide
  • Baltimore, MD
National Provider Identifier
1871368498
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
FOREVER HEALTH HOMECARE LLC
Practice address
5822 Judith Way
Baltimore, MD 21206-3739
Phone
(443) 286-3396
NPI assigned
Nov 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Authorized official

Name
Simone Jefferson
Title
Ceo
Phone
(443) 286-3396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

5822 Judith Way
Baltimore, MD 21206-3739

Mailing address

5822 Judith Way
Baltimore, MD 21206-3739
Phone (443) 286-3396

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1871368498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5822 JUDITH WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063739",
            "telephone_number": "443-286-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5822 JUDITH WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063739",
            "telephone_number": "443-286-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER HEALTH HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-286-3396"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 24, 2023; 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.