Provider Demographics
NPI:1083312664
Name:REMEDIUM HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:REMEDIUM HEALTH CARE SERVICES
Other - Org Name:REMEDIUM HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HANS
Authorized Official - Middle Name:PRINCE
Authorized Official - Last Name:DOHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-726-1114
Mailing Address - Street 1:8181 PROFESSIONAL PL STE 115
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2226
Mailing Address - Country:US
Mailing Address - Phone:844-726-1114
Mailing Address - Fax:301-576-5359
Practice Address - Street 1:8181 PROFESSIONAL PL STE 115
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-2226
Practice Address - Country:US
Practice Address - Phone:844-726-1114
Practice Address - Fax:301-576-5359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child