Provider Demographics
NPI:1477243483
Name:NORTHERN CARE SERVICES INC.
Entity Type:Organization
Organization Name:NORTHERN CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ACHIRI
Authorized Official - Middle Name:
Authorized Official - Last Name:NYINDEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-219-6801
Mailing Address - Street 1:6201 ALAN LINTON BLVD W
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-2721
Mailing Address - Country:US
Mailing Address - Phone:301-219-6801
Mailing Address - Fax:
Practice Address - Street 1:7960 DONEGAN DR STE 201
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-8236
Practice Address - Country:US
Practice Address - Phone:301-219-6801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care