Provider Demographics
NPI:1962833566
Name:STEIN GROUP, INC
Entity Type:Organization
Organization Name:STEIN GROUP, INC
Other - Org Name:STEIN HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GLADSON
Authorized Official - Middle Name:
Authorized Official - Last Name:NWANNA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-419-9833
Mailing Address - Street 1:PO BOX 32674
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21282-2674
Mailing Address - Country:US
Mailing Address - Phone:410-922-4910
Mailing Address - Fax:410-922-4911
Practice Address - Street 1:3610 MILFORD MILL RD
Practice Address - Street 2:3RD FLR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-3330
Practice Address - Country:US
Practice Address - Phone:410-922-4910
Practice Address - Fax:410-922-4911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3508P251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health