Provider Demographics
NPI:1235443250
Name:SAINT THERESA NURSELINK INC
Entity Type:Organization
Organization Name:SAINT THERESA NURSELINK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLUWATOYIN
Authorized Official - Middle Name:ABOSEDE
Authorized Official - Last Name:OLUWATOYIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-464-8189
Mailing Address - Street 1:7207 HANOVER PARKWAY
Mailing Address - Street 2:STE C & D
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2015
Mailing Address - Country:US
Mailing Address - Phone:301-459-0199
Mailing Address - Fax:301-459-3039
Practice Address - Street 1:7207 HANOVER PKWAY
Practice Address - Street 2:STE C & D
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2015
Practice Address - Country:US
Practice Address - Phone:301-464-8189
Practice Address - Fax:301-860-0256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-02
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2651251E00000X
MD0911004251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4203542 00Medicaid
MD4200471 00Medicaid
MD9094008 00Medicaid
MD9094016 00Medicaid