Provider Demographics
NPI:1639834633
Name:CAREPOINTE HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:CAREPOINTE HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:IDOTENYIN
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:UMANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-661-4222
Mailing Address - Street 1:13942 LORD FAIRFAX PL
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-5922
Mailing Address - Country:US
Mailing Address - Phone:301-442-3337
Mailing Address - Fax:301-587-5540
Practice Address - Street 1:13942 LORD FAIRFAX PL
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-5922
Practice Address - Country:US
Practice Address - Phone:301-442-3337
Practice Address - Fax:301-587-5540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD298019300Medicaid