Healthcare Provider Details

I. General information

NPI: 1417293507
Provider Name (Legal Business Name): CANTYS HELPING HANDS HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2012
Last Update Date: 12/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 8TH ST
BALTIMORE MD
21225-2134
US

IV. Provider business mailing address

4015 8TH ST
BALTIMORE MD
21225-2134
US

V. Phone/Fax

Practice location:
  • Phone: 410-449-0244
  • Fax:
Mailing address:
  • Phone: 410-449-0244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CHANTEL CANTY
Title or Position: ADMINISTRATOR
Credential: CNA/GNA
Phone: 410-449-0244