Provider Demographics
NPI:1104000181
Name:JPDODD INC.
Entity Type:Organization
Organization Name:JPDODD INC.
Other - Org Name:ACCESSIBLE HOME HEALTH CARE OF CENTRAL MARYLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DODD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-956-7708
Mailing Address - Street 1:2850 N RIDGE RD
Mailing Address - Street 2:SUITE 207A
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-3464
Mailing Address - Country:US
Mailing Address - Phone:410-956-7708
Mailing Address - Fax:443-926-9124
Practice Address - Street 1:2850 N RIDGE RD
Practice Address - Street 2:SUITE 207A
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-3464
Practice Address - Country:US
Practice Address - Phone:410-956-7708
Practice Address - Fax:443-926-9124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2556305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service