MEDICARE: ALBENIZ CARE AGENCY, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	385H00000X	Respite Care
4	3140N1450X	Pediatric Skilled Nursing Facility

General Provider Information

NPI Number	:	1548869696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBENIZ CARE AGENCY, LLC

Provider Business Mailing Address
First Line	:	20140 SCHOLAR DR STE 213
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21742-6575
Country	:	US
Telephone Number	:	301-970-3313
Fax Number	:	240-415-6084

Provider Business Practice Location Address
First Line	:	2002 TUSCARORA VALLEY CT
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-7900
Country	:	US
Telephone Number	:	301-970-3313
Fax Number	:	240-415-6084

Authorized Official
Title or Position	:	CEO
Name	:	OLIVIA P OBUADEY
Credential	:
Telephone Number	:	301-970-3313

Provider Enumeration Date	:	10/20/2020
Last Update Date	:	07/26/2025

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