Provider Demographics
NPI:1275050197
Name:BERBERICH HEALTH ENTERPRISES LLC
Entity Type:Organization
Organization Name:BERBERICH HEALTH ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:K
Authorized Official - Last Name:BERBERICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-275-2796
Mailing Address - Street 1:1615 YORK RD STE 205
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-5637
Mailing Address - Country:US
Mailing Address - Phone:443-275-2796
Mailing Address - Fax:443-275-2806
Practice Address - Street 1:1615 YORK RD STE 205
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-5637
Practice Address - Country:US
Practice Address - Phone:443-275-2796
Practice Address - Fax:443-275-2806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2881163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherINSURANCE