Healthcare Provider Details

I. General information

NPI: 1649985151
Provider Name (Legal Business Name): CARE FOREVER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9325 COPERNICUS DR
LANHAM MD
20706-3368
US

IV. Provider business mailing address

2824 NOMAD CT W
BOWIE MD
20716-1471
US

V. Phone/Fax

Practice location:
  • Phone: 240-584-9189
  • Fax:
Mailing address:
  • Phone:
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: YEMA M LYELL
Title or Position: ADMINISTRATOR
Credential:
Phone: 240-584-9189