Provider Demographics
NPI:1821435611
Name:AUGUST HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:AUGUST HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:KEHINDE
Authorized Official - Middle Name:ADEDOYIN
Authorized Official - Last Name:ADEBAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-728-0777
Mailing Address - Street 1:8204 RED GATE CT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-3368
Mailing Address - Country:US
Mailing Address - Phone:301-728-0777
Mailing Address - Fax:301-464-8181
Practice Address - Street 1:8204 RED GATE CT
Practice Address - Street 2:SUITE 103
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-3368
Practice Address - Country:US
Practice Address - Phone:301-728-0777
Practice Address - Fax:301-464-8181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3406251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health