Healthcare Provider Details
I. General information
NPI: 1861503526
Provider Name (Legal Business Name): HMIS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2434 W BELVEDERE AVE
BALTIMORE MD
21215-5202
US
IV. Provider business mailing address
100 E RIVERCENTER BLVD STE 1600
COVINGTON KY
41011-1540
US
V. Phone/Fax
- Phone: 410-601-2259
- Fax: 410-542-8175
- Phone: 859-392-3300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | PW0170 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | PW0170 |
| License Number State | MD |
VIII. Authorized Official
Name: MR.
REGIS
ROBBINS
Title or Position: SECRETARY
Credential:
Phone: 859-392-3300