Healthcare Provider Details

I. General information

NPI: 1265115034
Provider Name (Legal Business Name): REMEDIUM HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2023
Last Update Date: 01/26/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8181 PROFESSIONAL PL STE 115
HYATTSVILLE MD
20785-2226
US

IV. Provider business mailing address

8181 PROFESSIONAL PL STE 115
HYATTSVILLE MD
20785-2226
US

V. Phone/Fax

Practice location:
  • Phone: 844-726-1114
  • Fax: 301-576-5359
Mailing address:
  • Phone: 844-726-1114
  • Fax: 301-576-5359

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

VIII. Authorized Official

Name: MR. HANS PRINCE DOHERTY
Title or Position: CEO
Credential:
Phone: 844-726-1114