Healthcare Provider Details

I. General information

NPI: 1285545616
Provider Name (Legal Business Name): CWL SENIOR SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1936 SUMMIT AVE
GWYNN OAK MD
21207-4207
US

IV. Provider business mailing address

1936 SUMMIT AVE
GWYNN OAK MD
21207-4207
US

V. Phone/Fax

Practice location:
  • Phone: 443-810-5938
  • Fax:
Mailing address:
  • Phone: 443-810-5938
  • Fax:

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 Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. DONNA BURGESS
Title or Position: FOUNDER
Credential:
Phone: 443-810-5938