Healthcare Provider Details

I. General information

NPI: 1003437914
Provider Name (Legal Business Name): CARE FIRST HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2020
Last Update Date: 05/01/2020
Certification Date: 05/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12806 WILLOW MARSH LN
BOWIE MD
20720-4692
US

IV. Provider business mailing address

PO BOX 2137
BOWIE MD
20718-2137
US

V. Phone/Fax

Practice location:
  • Phone: 240-297-3488
  • Fax:
Mailing address:
  • Phone: 240-297-3488
  • Fax: 240-266-1121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. APURVE MATHUR
Title or Position: PRESIDENT
Credential:
Phone: 240-297-3488