Provider Demographics
NPI:1043497225
Name:JP DODD INC.
Entity Type:Organization
Organization Name:JP DODD INC.
Other - Org Name:ACCESSIBLE HOME HEALTH CARE OF CENTRAL MARYLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DODD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-956-7713
Mailing Address - Street 1:2850 N RIDGE RD
Mailing Address - Street 2:SUITE 2074
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-3464
Mailing Address - Country:US
Mailing Address - Phone:410-956-7713
Mailing Address - Fax:443-926-9124
Practice Address - Street 1:2850 N RIDGE RD
Practice Address - Street 2:SUITE 2074
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-3464
Practice Address - Country:US
Practice Address - Phone:410-956-7713
Practice Address - Fax:443-926-9124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR114185251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health