Healthcare Provider Details

I. General information

NPI: 1871213637
Provider Name (Legal Business Name): EMC HOME HEALTHCARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2022
Last Update Date: 08/31/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9802 WOODVIEW DR
BOWIE MD
20721-2796
US

IV. Provider business mailing address

9802 WOODVIEW DR
BOWIE MD
20721-2796
US

V. Phone/Fax

Practice location:
  • Phone: 202-826-1115
  • Fax: 240-264-5909
Mailing address:
  • Phone: 202-826-1115
  • Fax: 240-264-5909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MARKUS MCEADDY
Title or Position: CFO, ADMINISTRATOR
Credential:
Phone: 202-826-1115