Healthcare Provider Details

I. General information

NPI: 1952354912
Provider Name (Legal Business Name): HELIXCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 LOCH RAVEN BLVD RUSSELL MORGAN BUILDING, 3RD FLOOR
BALTIMORE MD
21239-2905
US

IV. Provider business mailing address

5601 LOCH RAVEN BLVD RUSSELL MORGAN BUILDING, 3RD FLOOR
BALTIMORE MD
21239-2905
US

V. Phone/Fax

Practice location:
  • Phone: 410-464-5600
  • Fax: 410-435-5367
Mailing address:
  • Phone: 410-464-5600
  • Fax: 410-435-5367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MS. BARBARA LOVELACE
Title or Position: AREA PRACTICE ADMINISTRATOR
Credential:
Phone: 410-464-5601