Healthcare Provider Details

I. General information

NPI: 1578106381
Provider Name (Legal Business Name): ENDEARMENT, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2019
Last Update Date: 10/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 WALNUT LN
ELKTON MD
21921-5001
US

IV. Provider business mailing address

107 WALNUT LN
ELKTON MD
21921-5001
US

V. Phone/Fax

Practice location:
  • Phone: 443-350-9728
  • Fax:
Mailing address:
  • Phone: 443-350-9728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: CATELLA M VISSER
Title or Position: OWNER/ MANAGER
Credential: RN
Phone: 410-920-8925