Provider Demographics
NPI:1912046368
Name:HOME ASSIST LLC
Entity Type:Organization
Organization Name:HOME ASSIST LLC
Other - Org Name:AS ABOVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:EBEHI
Authorized Official - Last Name:OJEABULU R.N.
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-864-0643
Mailing Address - Street 1:5504 KENILWORTH AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-3121
Mailing Address - Country:US
Mailing Address - Phone:301-864-0643
Mailing Address - Fax:301-864-0642
Practice Address - Street 1:5504 KENILWORTH AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-3121
Practice Address - Country:US
Practice Address - Phone:301-864-0643
Practice Address - Fax:301-864-0642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2271251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health