Provider Demographics
NPI:1437029261
Name:DEAMACO HEALTHCARE AGENCY LLC
Entity type:Organization
Organization Name:DEAMACO HEALTHCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:YASSAH
Authorized Official - Middle Name:KORTU
Authorized Official - Last Name:DENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:317-702-7519
Mailing Address - Street 1:1404 ORANGETIP CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-5983
Mailing Address - Country:US
Mailing Address - Phone:317-702-7519
Mailing Address - Fax:
Practice Address - Street 1:1404 ORANGETIP CT
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-5983
Practice Address - Country:US
Practice Address - Phone:317-702-7519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care