Healthcare Provider Details
I. General information
NPI: 1184493918
Provider Name (Legal Business Name): CARESIFY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/20/2023
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
145 W OSTEND ST STE 600
BALTIMORE MD
21230-3774
US
IV. Provider business mailing address
145 W OSTEND ST STE 600
BALTIMORE MD
21230-3774
US
V. Phone/Fax
- Phone: 410-452-3199
- Fax:
- Phone: 410-452-3199
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHERIFF
ADEWALE
Title or Position: ADMIN
Credential:
Phone: 410-452-3199