Healthcare Provider Details

I. General information

NPI: 1457772535
Provider Name (Legal Business Name): JOHNS HOPKINS HOME CARE GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2013
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 HOLABIRD AVE SUITE A
BALTIMORE MD
21224-6015
US

IV. Provider business mailing address

5901 HOLABIRD AVE SUITE A
BALTIMORE MD
21224-6015
US

V. Phone/Fax

Practice location:
  • Phone: 410-288-8000
  • Fax: 410-285-0149
Mailing address:
  • Phone: 410-288-8760
  • Fax: 410-285-0149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES NELSON VAN DANIKER JR.
Title or Position: VP/CFO
Credential:
Phone: 410-288-8000