Provider Demographics
NPI:1154669166
Name:HOME HEALTH VENTURES I, LLC
Entity Type:Organization
Organization Name:HOME HEALTH VENTURES I, LLC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:WARBLE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:410-795-7495
Mailing Address - Street 1:1036 CIRCLE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-7900
Mailing Address - Country:US
Mailing Address - Phone:410-795-7495
Mailing Address - Fax:
Practice Address - Street 1:1036 CIRCLE DR
Practice Address - Street 2:SUITE B
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-7900
Practice Address - Country:US
Practice Address - Phone:410-795-7495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3396251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR3396OtherMD DHMH OHCQ RESIDENTIAL SERVICE AGENCY LICENSE