Healthcare Provider Details

I. General information

NPI: 1417768045
Provider Name (Legal Business Name): ENRICHING HEALTH CARE LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 OLD HARFORD RD FL 1
BALTIMORE MD
21234-7534
US

IV. Provider business mailing address

7220 OLD HARFORD RD FL 1
BALTIMORE MD
21234-7534
US

V. Phone/Fax

Practice location:
  • Phone: 410-202-1094
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JAMIU AHMED
Title or Position: OWNER
Credential:
Phone: 410-202-1094