Provider Demographics
NPI:1417722711
Name:CARE AT HOME, LLC
Entity Type:Organization
Organization Name:CARE AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:UKO
Authorized Official - Last Name:EKPENYONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-768-6095
Mailing Address - Street 1:807 PAINTED POST CT
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3542
Mailing Address - Country:US
Mailing Address - Phone:443-768-6095
Mailing Address - Fax:
Practice Address - Street 1:8 BROOKES AVE
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2753
Practice Address - Country:US
Practice Address - Phone:443-768-6095
Practice Address - Fax:253-399-2855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)