Provider Demographics
NPI:1851284301
Name:MARYLAND HOME HEALTH AGENCY LLC
Entity type:Organization
Organization Name:MARYLAND HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIENONWU
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:667-201-1344
Mailing Address - Street 1:506 BROOKLETTS AVE STE G
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3853
Mailing Address - Country:US
Mailing Address - Phone:667-201-1344
Mailing Address - Fax:
Practice Address - Street 1:506 BROOKLETTS AVE STE G
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3853
Practice Address - Country:US
Practice Address - Phone:667-201-1344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health