MEDICARE: A1 HOME HEALTHCARE LLC

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1578263562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1 HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	4061 POWDER MILL RD STE 700
Second Line	:
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-4053
Country	:	US
Telephone Number	:	240-624-6010
Fax Number	:	240-624-6020

Provider Business Practice Location Address
First Line	:	4061 POWDER MILL RD STE 700
Second Line	:
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-4053
Country	:	US
Telephone Number	:	240-624-6010
Fax Number	:	240-624-6020

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BHARAT MENDPARA
Credential	:	RN, CMDN
Telephone Number	:	240-470-0898

Provider Enumeration Date	:	03/08/2023
Last Update Date	:	03/08/2023

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Directions to “A1 HOME HEALTHCARE LLC ” Practice Location

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