Healthcare Provider Details

I. General information

NPI: 1962239301
Provider Name (Legal Business Name): MARYLAND HOME HEALTH CHOICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 BROOKLETTS AVE STE G
EASTON MD
21601-3853
US

IV. Provider business mailing address

506 BROOKLETTS AVE STE G
EASTON MD
21601-3853
US

V. Phone/Fax

Practice location:
  • Phone: 667-201-1344
  • Fax:
Mailing address:
  • Phone: 667-201-1344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KENDRA BOWSER
Title or Position: STAFF
Credential:
Phone: 667-201-1344