Provider Demographics
NPI:1326627951
Name:AED HEALTHCARE LLC
Entity Type:Organization
Organization Name:AED HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:DJOMGOUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-992-2529
Mailing Address - Street 1:5465 VANTAGE POINT RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044
Mailing Address - Country:US
Mailing Address - Phone:410-992-2529
Mailing Address - Fax:
Practice Address - Street 1:630 FREEDOM BUSINESS CNTR DR
Practice Address - Street 2:STE 300
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406
Practice Address - Country:US
Practice Address - Phone:410-992-2529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care