Healthcare Provider Details

I. General information

NPI: 1992668784
Provider Name (Legal Business Name): ALBENIZ CARE THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 TUSCARORA VALLEY CT
FREDERICK MD
21702-7900
US

IV. Provider business mailing address

2002 TUSCARORA VALLEY CT
FREDERICK MD
21702-7900
US

V. Phone/Fax

Practice location:
  • Phone: 240-205-7979
  • Fax: 240-415-6084
Mailing address:
  • Phone: 240-205-7979
  • Fax: 240-415-6084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: OLIVIA P OBUADEY
Title or Position: PRESIDENT
Credential:
Phone: 240-205-7979