Provider Demographics
NPI:1376839779
Name:CONCORD HEALTHCARE, LLC
Entity Type:Organization
Organization Name:CONCORD HEALTHCARE, LLC
Other - Org Name:HOME SWEET HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:S
Authorized Official - Last Name:BELLAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-639-7472
Mailing Address - Street 1:6101 SOUEID ST
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-6212
Mailing Address - Country:US
Mailing Address - Phone:703-639-7472
Mailing Address - Fax:
Practice Address - Street 1:8787 BRANCH AVE
Practice Address - Street 2:SUITE 171
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2630
Practice Address - Country:US
Practice Address - Phone:703-639-7472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health