Healthcare Provider Details

I. General information

NPI: 1801412531
Provider Name (Legal Business Name): HOMESTEAD HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2020
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6609 REISTERSTOWN RD STE 208
BALTIMORE MD
21215-2634
US

IV. Provider business mailing address

6609 REISTERSTOWN RD STE 208
BALTIMORE MD
21215-2634
US

V. Phone/Fax

Practice location:
  • Phone: 410-497-4237
  • Fax: 410-654-3631
Mailing address:
  • Phone: 410-497-4237
  • Fax: 410-654-3631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: OLAYINKA O TOBY
Title or Position: PRESIDENT
Credential: PMHNP-BC
Phone: 410-497-4237