Provider Demographics
| NPI: | 1659005312 |
|---|---|
| Name: | EMC HOME HEALTHCARE CORP |
| Entity type: | Organization |
| Organization Name: | EMC HOME HEALTHCARE CORP |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CHIEF FINANCIAL OFFICER, ADMIN |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | MARKUS |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MCEADDY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 202-826-1115 |
| Mailing Address - Street 1: | 9500 MEDICAL CENTER DR STE 230I |
| Mailing Address - Street 2: | |
| Mailing Address - City: | UPPER MARLBORO |
| Mailing Address - State: | MD |
| Mailing Address - Zip Code: | 20774-3707 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 301-532-9613 |
| Mailing Address - Fax: | 240-264-5909 |
| Practice Address - Street 1: | 9500 MEDICAL CENTER DR STE 230I |
| Practice Address - Street 2: | |
| Practice Address - City: | UPPER MARLBORO |
| Practice Address - State: | MD |
| Practice Address - Zip Code: | 20774-3707 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 301-532-9613 |
| Practice Address - Fax: | 240-264-5909 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2022-07-10 |
| Last Update Date: | 2024-12-31 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251S00000X | Agencies | Community/Behavioral Health | |
| Yes | 251E00000X | Agencies | Home Health |