Provider Demographics
NPI:1285181560
Name:UMBRELLA PALLIATIVE & HOSPICE CARE
Entity Type:Organization
Organization Name:UMBRELLA PALLIATIVE & HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:REILLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-441-1515
Mailing Address - Street 1:4061 POWDER MILL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CALVERTON
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3149
Mailing Address - Country:US
Mailing Address - Phone:301-441-1515
Mailing Address - Fax:301-441-1987
Practice Address - Street 1:4061 POWDER MILL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CALVERTON
Practice Address - State:MD
Practice Address - Zip Code:20705-3149
Practice Address - Country:US
Practice Address - Phone:301-441-1515
Practice Address - Fax:301-441-1987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-05
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based