Healthcare Provider Details
I. General information
NPI: 1174459572
Provider Name (Legal Business Name): INY HEALTHCARE P.C
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5619 ANNAPOLIS RD
BLADENSBURG MD
20710-2212
US
IV. Provider business mailing address
5619 ANNAPOLIS RD
BLADENSBURG MD
20710-2212
US
V. Phone/Fax
- Phone: 301-277-2727
- Fax:
- Phone: 301-277-2727
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
INY
HANMISI
Title or Position: OWNER
Credential:
Phone: 301-277-2727