Healthcare Provider Details

I. General information

NPI: 1366195802
Provider Name (Legal Business Name): AFFECTION HOME HEALTH CARE MARYLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2022
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16701 MELFORD BLVD STE 400
BOWIE MD
20715-4411
US

IV. Provider business mailing address

16701 MELFORD BLVD STE 400
BOWIE MD
20715-4411
US

V. Phone/Fax

Practice location:
  • Phone: 227-218-7544
  • Fax: 571-730-4853
Mailing address:
  • Phone: 227-218-7544
  • Fax: 571-730-4853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MOHOSINA JANNAT RIMI
Title or Position: ADMINISTRATOR
Credential:
Phone: 571-306-9833