Provider Demographics
NPI:1659748176
Name:A MONTCALM IN-HOME CARE, INC.
Entity Type:Organization
Organization Name:A MONTCALM IN-HOME CARE, INC.
Other - Org Name:COMFORCARE SENIOR SERVICES - EAST ANNE ARUNDEL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:BOLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-703-3014
Mailing Address - Street 1:846 RITCHIE HWY
Mailing Address - Street 2:SUITE L-2
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-4150
Mailing Address - Country:US
Mailing Address - Phone:443-906-6283
Mailing Address - Fax:443-906-6284
Practice Address - Street 1:846 RITCHIE HWY
Practice Address - Street 2:SUITE L-2
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-4150
Practice Address - Country:US
Practice Address - Phone:443-906-6283
Practice Address - Fax:443-906-6284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care