Healthcare Provider Details

I. General information

NPI: 1508514001
Provider Name (Legal Business Name): ASSIGNED HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 03/14/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15400 MOUNT OAK RD
BOWIE MD
20716-1246
US

IV. Provider business mailing address

15400 MOUNT OAK RD
BOWIE MD
20716-1246
US

V. Phone/Fax

Practice location:
  • Phone: 301-613-0110
  • Fax: 301-390-2549
Mailing address:
  • Phone: 301-613-0110
  • Fax: 301-390-2549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. NAOMI ELCOCK
Title or Position: PRESIDENT/ADMINISTRATOR
Credential: RN
Phone: 301-613-0110