Provider Demographics
NPI:1891141842
Name:PATIENT TRUST HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:PATIENT TRUST HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OTUOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESOCHAGHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-571-4937
Mailing Address - Street 1:2001 HACKBERRY RD
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-1708
Mailing Address - Country:US
Mailing Address - Phone:443-571-4937
Mailing Address - Fax:
Practice Address - Street 1:2001 HACKBERRY RD
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-1708
Practice Address - Country:US
Practice Address - Phone:443-571-4937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3894251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care