Provider Demographics
NPI:1518551720
Name:MCBRIDE CAREGIVERS & SUPPORT SERVICES
Entity Type:Organization
Organization Name:MCBRIDE CAREGIVERS & SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-450-8644
Mailing Address - Street 1:11 GWYNNS MILL CT STE K
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3500
Mailing Address - Country:US
Mailing Address - Phone:443-450-8644
Mailing Address - Fax:
Practice Address - Street 1:11 GWYNNS MILL CT STE K
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3500
Practice Address - Country:US
Practice Address - Phone:443-450-8644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-28
Last Update Date:2021-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health