Healthcare Provider Details

I. General information

NPI: 1588785331
Provider Name (Legal Business Name): SALVATION NURSES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4536 AMMENDALE RD
BELTSVILLE MD
20705
US

IV. Provider business mailing address

4536 AMMENDALE ROAD
BELTSVILLE MD
20705
US

V. Phone/Fax

Practice location:
  • Phone: 301-789-1000
  • Fax: 301-937-2203
Mailing address:
  • Phone: 301-787-1000
  • Fax: 301-937-2203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number12799730
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number12799730
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number12799730
License Number StateMD

VIII. Authorized Official

Name: MR. NUFOR PASCHAL NFORTOH
Title or Position: MANAGER
Credential:
Phone: 301-789-1000