Provider Demographics
NPI:1225366412
Name:SYNERGY HOMECARE OF BALTIMORE
Entity Type:Organization
Organization Name:SYNERGY HOMECARE OF BALTIMORE
Other - Org Name:DIAMOND SOLUTIONS GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-339-7260
Mailing Address - Street 1:106 OLD PADONIA RD STE 2N
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-4968
Mailing Address - Country:US
Mailing Address - Phone:410-339-7260
Mailing Address - Fax:410-510-1503
Practice Address - Street 1:106 OLD PADONIA RD STE 2N
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-4968
Practice Address - Country:US
Practice Address - Phone:410-339-7260
Practice Address - Fax:410-510-1503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-27
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2812P251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health