Healthcare Provider Details

I. General information

NPI: 1104695063
Provider Name (Legal Business Name): WHOLE HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 WEST ST
ANNAPOLIS MD
21401-4198
US

IV. Provider business mailing address

1125 WEST ST STE 200
ANNAPOLIS MD
21401-4279
US

V. Phone/Fax

Practice location:
  • Phone: 443-610-5312
  • Fax:
Mailing address:
  • Phone: 443-714-7210
  • Fax: 833-973-4456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA RAY O'CONNELL
Title or Position: CO FOUNDER/NURSE PRACTITIONER
Credential: APRN, FNP-C
Phone: 443-714-7210