Healthcare Provider Details

I. General information

NPI: 1740699719
Provider Name (Legal Business Name): GIOVANNI HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2014
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6340 SECURITY BLVD STE 100
BALTIMORE MD
21207-5284
US

IV. Provider business mailing address

10443 HEATHSIDE WAY
POTOMAC MD
20854-6346
US

V. Phone/Fax

Practice location:
  • Phone: 301-326-6142
  • Fax: 301-822-4655
Mailing address:
  • Phone: 301-326-6142
  • Fax: 301-822-4655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number15969587
License Number StateMD

VIII. Authorized Official

Name: MATILDA OFORIWAH ADU
Title or Position: PRESIDENT
Credential:
Phone: 301-326-6142