Provider Demographics
NPI:1295406171
Name:CARITAS AMARE HOMESTEAD LLC
Entity Type:Organization
Organization Name:CARITAS AMARE HOMESTEAD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOUSE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OBINNA
Authorized Official - Middle Name:AMBROSE
Authorized Official - Last Name:OJIERE
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:443-600-7033
Mailing Address - Street 1:408 JOHN AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21221-3342
Mailing Address - Country:US
Mailing Address - Phone:443-600-7033
Mailing Address - Fax:
Practice Address - Street 1:408 JOHN AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21221-3342
Practice Address - Country:US
Practice Address - Phone:443-600-7033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDN126400456OtherMD