Healthcare Provider Details

I. General information

NPI: 1104249556
Provider Name (Legal Business Name): NURSINGHANDS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2014
Last Update Date: 01/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4536 AMMENDALE RD
BELTSVILLE MD
20705-1112
US

IV. Provider business mailing address

4536 AMMENDALE RD
BELTSVILLE MD
20705-1112
US

V. Phone/Fax

Practice location:
  • Phone: 301-202-7903
  • Fax:
Mailing address:
  • Phone: 301-202-7903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberR3447
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberR3447
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberR3447
License Number StateMD

VIII. Authorized Official

Name: MR. NUFOR NFORTOH
Title or Position: NURSE ADMINISTRATOR
Credential: REGISTERED NURSE
Phone: 301-202-7903