Provider Demographics
NPI:1255032124
Name:HOMESTEAD HEALTH SERVICES INC
Entity type:Organization
Organization Name:HOMESTEAD HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLAYINKA
Authorized Official - Middle Name:O
Authorized Official - Last Name:TOBY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP-PMH-BC
Authorized Official - Phone:410-497-4237
Mailing Address - Street 1:6609 REISTERSTOWN RD STE 208
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-2634
Mailing Address - Country:US
Mailing Address - Phone:410-497-4237
Mailing Address - Fax:
Practice Address - Street 1:6609 REISTERSTOWN RD STE 208
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-2634
Practice Address - Country:US
Practice Address - Phone:410-497-4237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOMESTEAD HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation