MEDICARE: NCOLIVS 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	:	1841125473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NCOLIVS LLC

Provider Business Mailing Address
First Line	:	7915 CRISFORD PL APT L
Second Line	:
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-2628
Country	:	US
Telephone Number	:	240-543-0591
Fax Number	:

Provider Business Practice Location Address
First Line	:	7915 CRISFORD PL APT L
Second Line	:
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-2628
Country	:	US
Telephone Number	:	240-543-0591
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. NMA CANDY LEWIS
Credential	:
Telephone Number	:	240-543-0591

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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