NPIMap

Organization Active NPI

A Network of Care Home Healthcare Specialists, LLC

  • In Home Supportive Care Agency
  • Waldorf, MD
National Provider Identifier
1891244042
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
R2301 Issued in MD
Legal business name
A NETWORK OF CARE HOME HEALTHCARE SPECIALISTS, LLC
Practice address
11350 Pembrooke SQ Ste 313
Waldorf, MD 20603-4809
Phone
(301) 885-2100
Fax
(866) 449-4111
NPI assigned
Sep 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Dwayne A Ford
Title
Owner/Administrator
Phone
(301) 379-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X R2301 MD Primary

Addresses

Primary practice location

11350 Pembrooke SQ Ste 313
Waldorf, MD 20603-4809

Mailing address

11350 Pembrooke SQ Ste 313
Waldorf, MD 20603-4809
Phone (301) 885-2100

Other names 1

  • A Network of Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1891244042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 PEMBROOKE SQ STE 313",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034809",
            "telephone_number": "301-885-2100",
            "fax_number": "866-449-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 PEMBROOKE SQ STE 313",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034809",
            "telephone_number": "301-885-2100",
            "fax_number": "866-449-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NETWORK OF CARE HOME HEALTHCARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "301-379-4555"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R2301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Network of Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.