Provider Demographics
NPI:1508554627
Name:HOMECENTRIS COMMUNITY CARE, LLC
Entity Type:Organization
Organization Name:HOMECENTRIS COMMUNITY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:AUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-486-5330
Mailing Address - Street 1:10 CROSSROADS DR STE 110
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5463
Mailing Address - Country:US
Mailing Address - Phone:410-486-5330
Mailing Address - Fax:410-486-5331
Practice Address - Street 1:10 CROSSROADS DR STE 110
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5463
Practice Address - Country:US
Practice Address - Phone:410-486-5330
Practice Address - Fax:410-486-5331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies