Provider Demographics
NPI:1619646056
Name:FOREVER30 HOME CARE, INC.
Entity Type:Organization
Organization Name:FOREVER30 HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:HUGHES
Authorized Official - Last Name:ARMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-764-5844
Mailing Address - Street 1:9503 TRUMPET LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-7937
Mailing Address - Country:US
Mailing Address - Phone:301-848-9508
Mailing Address - Fax:
Practice Address - Street 1:9420 ANNAPOLIS RD STE 216
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3092
Practice Address - Country:US
Practice Address - Phone:240-764-5844
Practice Address - Fax:240-764-5845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health