Provider Demographics
NPI:1578913133
Name:PIONEERS HOME CARE AND SERVICES LLC
Entity Type:Organization
Organization Name:PIONEERS HOME CARE AND SERVICES LLC
Other - Org Name:PIONEERS HOME CARE AND SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:BELLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PILOUZOUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-838-6764
Mailing Address - Street 1:13937 HIGHSTREAM PL
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-6164
Mailing Address - Country:US
Mailing Address - Phone:240-838-6764
Mailing Address - Fax:
Practice Address - Street 1:13937 HIGHSTREAM PL
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-6164
Practice Address - Country:US
Practice Address - Phone:240-838-6764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2183218517Medicaid
MD2183218517Medicaid