Healthcare Provider Details

I. General information

NPI: 1831787290
Provider Name (Legal Business Name): ADCARE HOME HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2021
Last Update Date: 11/10/2022
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18909 EBBTIDE CIR
GERMANTOWN MD
20874-1993
US

IV. Provider business mailing address

18909 EBBTIDE CIR
GERMANTOWN MD
20874-1993
US

V. Phone/Fax

Practice location:
  • Phone: 240-491-1087
  • Fax: 240-252-2171
Mailing address:
  • Phone: 240-491-1087
  • Fax: 240-252-2171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: DR. CATHERINE OPPONG KLEDO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: DNP, MSN, RN, WCC
Phone: 240-491-1087