Provider Demographics
NPI:1144400805
Name:HOMECARE MARYLAND, LLC
Entity Type:Organization
Organization Name:HOMECARE MARYLAND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FINGLASS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:410-766-1995
Mailing Address - Street 1:11155 DOLFIELD BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3289
Mailing Address - Country:US
Mailing Address - Phone:410-566-5015
Mailing Address - Fax:410-566-1005
Practice Address - Street 1:10090 RED RUN BLVD FL 3
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4827
Practice Address - Country:US
Practice Address - Phone:410-566-5015
Practice Address - Fax:410-566-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-11
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health