Healthcare Provider Details

I. General information

NPI: 1114456977
Provider Name (Legal Business Name): HEALTH ADVOCATE PROFESSIONALS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2551 BALTIMORE BLVD SUITE 40
FINKSBURG MD
21048
US

IV. Provider business mailing address

PO BOX 394
FINKSBURG MD
21048-0394
US

V. Phone/Fax

Practice location:
  • Phone: 443-650-8776
  • Fax: 443-201-8905
Mailing address:
  • Phone: 443-650-8776
  • Fax: 443-201-8905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateMD

VIII. Authorized Official

Name: MRS. LINDA MARIE RANDS
Title or Position: PRESIDENT
Credential: RN, BSN, CHPN
Phone: 443-528-9408