Healthcare Provider Details

I. General information

NPI: 1518852706
Provider Name (Legal Business Name): JOYRIDE HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9332 ANNAPOLIS RD STE 108
LANHAM MD
20706-3113
US

IV. Provider business mailing address

9332 ANNAPOLIS RD STE 108
LANHAM MD
20706-3113
US

V. Phone/Fax

Practice location:
  • Phone: 240-764-6874
  • Fax:
Mailing address:
  • Phone: 240-764-6874
  • 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 Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: BRENDA ENO
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 240-764-6874