Healthcare Provider Details

I. General information

NPI: 1548869696
Provider Name (Legal Business Name): ALBENIZ CARE AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 07/26/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 TUSCARORA VALLEY CT
FREDERICK MD
21702-7900
US

IV. Provider business mailing address

20140 SCHOLAR DR STE 213
HAGERSTOWN MD
21742-6575
US

V. Phone/Fax

Practice location:
  • Phone: 301-970-3313
  • Fax: 240-415-6084
Mailing address:
  • Phone: 301-970-3313
  • Fax: 240-415-6084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: OLIVIA P OBUADEY
Title or Position: CEO
Credential:
Phone: 301-970-3313