Healthcare Provider Details

I. General information

NPI: 1184275810
Provider Name (Legal Business Name): BESTCARE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2019
Last Update Date: 09/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

481 N FREDERICK AVE STE 435
GAITHERSBURG MD
20877-2417
US

IV. Provider business mailing address

481 N FREDERICK AVE STE 435
GAITHERSBURG MD
20877-2417
US

V. Phone/Fax

Practice location:
  • Phone: 301-337-6865
  • Fax: 301-337-6861
Mailing address:
  • Phone: 301-337-6865
  • Fax: 301-337-6861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CLEMENT CHEMJOR RUTTO
Title or Position: OWNER
Credential:
Phone: 240-838-9655