MEDICARE: REWARD HEALTH SERVICES, 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	251G00000X	Community Based Hospice Care Agency		MD

General Provider Information

NPI Number	:	1972548592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REWARD HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	2116 N CHARLES ST
Second Line	:	SUIT 300
City	:	BALTIMORE
State	:	MD
Zip	:	21218-5758
Country	:	US
Telephone Number	:	410-244-0331
Fax Number	:

Provider Business Practice Location Address
First Line	:	2116 N CHARLES ST
Second Line	:	SUIT 300
City	:	BALTIMORE
State	:	MD
Zip	:	21218-5758
Country	:	US
Telephone Number	:	410-244-0331
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. ISAAC ABIOYE OLASUPO
Credential	:
Telephone Number	:	410-244-0331

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	08/22/2020

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