Provider Demographics
NPI:1770997496
Name:BALTIMORE FAMILY HOME HEALTHCARE SERVICES
Entity type:Organization
Organization Name:BALTIMORE FAMILY HOME HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN CLAUDE
Authorized Official - Middle Name:NDASHI
Authorized Official - Last Name:AGYINGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-530-3394
Mailing Address - Street 1:11208 MARLBORO RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-8029
Mailing Address - Country:US
Mailing Address - Phone:443-742-2678
Mailing Address - Fax:
Practice Address - Street 1:1005 N POINT BLVD STE 728
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3402
Practice Address - Country:US
Practice Address - Phone:240-675-3018
Practice Address - Fax:443-503-6041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-20
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3654P251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health