Provider Demographics
NPI:1578157814
Name:GANDHI RESIDENTIAL SERVICE LLC
Entity Type:Organization
Organization Name:GANDHI RESIDENTIAL SERVICE LLC
Other - Org Name:GANDHI RESIDENTIAL SERVICE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ASANJI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-352-8030
Mailing Address - Street 1:1400 REISTERSTOWN RD STE B
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3806
Mailing Address - Country:US
Mailing Address - Phone:443-352-8030
Mailing Address - Fax:443-660-8242
Practice Address - Street 1:1400 REISTERSTOWN RD STE B
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-3806
Practice Address - Country:US
Practice Address - Phone:443-352-8030
Practice Address - Fax:443-660-8242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-26
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health