Healthcare Provider Details

I. General information

NPI: 1598676322
Provider Name (Legal Business Name): IMPERIAL AUXILIUM CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 N LONGWOOD ST APT 3
BALTIMORE MD
21216-3559
US

IV. Provider business mailing address

1802 N LONGWOOD ST APT 3
BALTIMORE MD
21216-3559
US

V. Phone/Fax

Practice location:
  • Phone: 410-803-5846
  • Fax:
Mailing address:
  • Phone: 410-803-5846
  • Fax:

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 Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: RHA-ISHA SWAIN
Title or Position: FOUNDER & EXECUTIVE DIRECTOR
Credential:
Phone: 410-803-5846