Healthcare Provider Details

I. General information

NPI: 1902575046
Provider Name (Legal Business Name): BMORE HYDRATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2021
Last Update Date: 09/11/2021
Certification Date: 09/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 S ROBINSON ST
BALTIMORE MD
21224-4937
US

IV. Provider business mailing address

1016 S ROBINSON ST
BALTIMORE MD
21224-4937
US

V. Phone/Fax

Practice location:
  • Phone: 410-864-2169
  • Fax:
Mailing address:
  • Phone: 410-864-2169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER KIRCHER
Title or Position: OWNER
Credential: MD
Phone: 410-864-2169