Healthcare Provider Details

I. General information

NPI: 1902741796
Provider Name (Legal Business Name): VIENNA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N CHARLES ST STE 304
BALTIMORE MD
21201-5908
US

IV. Provider business mailing address

1800 N CHARLES ST STE 304
BALTIMORE MD
21201-5908
US

V. Phone/Fax

Practice location:
  • Phone: 443-600-4067
  • Fax:
Mailing address:
  • Phone: 443-600-4067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: OLANREWAJU ETTI
Title or Position: CEO
Credential:
Phone: 443-600-4067