Healthcare Provider Details

I. General information

NPI: 1871392340
Provider Name (Legal Business Name): WHOLE HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 WEST ST STE 200
ANNAPOLIS MD
21401-4279
US

IV. Provider business mailing address

1125 WEST ST STE 200
ANNAPOLIS MD
21401-4279
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA RAY O'CONNELL
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 443-714-7210