Provider Demographics
NPI:1578891842
Name:JERRY'S CARING HANDS INCORPORATION
Entity Type:Organization
Organization Name:JERRY'S CARING HANDS INCORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EBERE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBONNAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-444-4106
Mailing Address - Street 1:7416 HARFORD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7152
Mailing Address - Country:US
Mailing Address - Phone:800-979-1732
Mailing Address - Fax:
Practice Address - Street 1:7416 HARFORD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-7152
Practice Address - Country:US
Practice Address - Phone:800-979-1732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-25
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD423137600Medicaid