Provider Demographics
NPI:1346866969
Name:A WATCHFUL EYE HOMECARE AGENCY, LLC
Entity Type:Organization
Organization Name:A WATCHFUL EYE HOMECARE AGENCY, LLC
Other - Org Name:A WATCHFUL EYE HOMECARE AGENCY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-431-3688
Mailing Address - Street 1:14112 WOODENS LN
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-4540
Mailing Address - Country:US
Mailing Address - Phone:410-905-1226
Mailing Address - Fax:443-898-6159
Practice Address - Street 1:2343 YORK RD
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2217
Practice Address - Country:US
Practice Address - Phone:443-898-6159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility