Provider Demographics
NPI:1295125904
Name:CAREFIRST HEALTH CARE SERVICES
Entity type:Organization
Organization Name:CAREFIRST HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:AJUZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-905-3680
Mailing Address - Street 1:5832 WESTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-2149
Mailing Address - Country:US
Mailing Address - Phone:410-905-3680
Mailing Address - Fax:410-866-1050
Practice Address - Street 1:1045 TAYLOR AVE STE 16
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21286-8331
Practice Address - Country:US
Practice Address - Phone:410-905-3680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3729RP251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health