Provider Demographics
NPI:1841805405
Name:CARING HANDS MEDICAL CLINIC LLC
Entity Type:Organization
Organization Name:CARING HANDS MEDICAL CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:EBEI
Authorized Official - Last Name:NDIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-241-4989
Mailing Address - Street 1:14333 LAUREL BOWIE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1179
Mailing Address - Country:US
Mailing Address - Phone:240-241-4989
Mailing Address - Fax:301-477-1976
Practice Address - Street 1:14333 LAUREL BOWIE RD STE 204
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1179
Practice Address - Country:US
Practice Address - Phone:240-241-4989
Practice Address - Fax:301-477-1976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2021-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD987604900Medicaid