Provider Demographics
NPI:1497965727
Name:CARING HANDS OF FREDRICK, LLC
Entity Type:Organization
Organization Name:CARING HANDS OF FREDRICK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:EATON
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP-MSN
Authorized Official - Phone:301-865-4484
Mailing Address - Street 1:4202 GREEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:MD
Mailing Address - Zip Code:21770-9517
Mailing Address - Country:US
Mailing Address - Phone:301-865-4484
Mailing Address - Fax:301-865-2844
Practice Address - Street 1:4202 GREEN VALLEY RD
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:MD
Practice Address - Zip Code:21770-9517
Practice Address - Country:US
Practice Address - Phone:301-865-4484
Practice Address - Fax:301-865-2844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR050640363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR050640OtherNURSE PRACTITIONER
MDR050640OtherNURSE PRACTITIONER
MDME-0578813OtherDEA
MDR050640OtherNURSE PRACTITIONER