MEDICARE: CAREWITHHEARTLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1013501592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREWITHHEARTLLC

Provider Business Mailing Address
First Line	:	4725 NEW TOWN BLVD
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-7403
Country	:	US
Telephone Number	:	443-985-2123
Fax Number	:

Provider Business Practice Location Address
First Line	:	4725 NEW TOWN BLVD
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-7403
Country	:	US
Telephone Number	:	443-985-2123
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. OMOLOLA IYABODE JOB
Credential	:	MD
Telephone Number	:	443-982-2123

Provider Enumeration Date	:	02/24/2021
Last Update Date	:	02/24/2021

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Directions to “CAREWITHHEARTLLC ” Practice Location

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