Healthcare Provider Details

I. General information

NPI: 1760006027
Provider Name (Legal Business Name): EKE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 12/27/2020
Certification Date: 12/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 PHILADELPHIA RD
JOPPA MD
21085-3216
US

IV. Provider business mailing address

1520 PHILADELPHIA RD
JOPPA MD
21085-3216
US

V. Phone/Fax

Practice location:
  • Phone: 410-538-4825
  • Fax:
Mailing address:
  • Phone: 410-538-4825
  • Fax:

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 Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. GIDEON EKE
Title or Position: PRESIDENT
Credential: DNP, MSN, BSN, RN
Phone: 410-299-5082