Healthcare Provider Details

I. General information

NPI: 1255821757
Provider Name (Legal Business Name): UMM CARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2018
Last Update Date: 05/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10304 NAREEN ST
LARGO MD
20774-1560
US

IV. Provider business mailing address

10304 NAREEN ST
LARGO MD
20774-1560
US

V. Phone/Fax

Practice location:
  • Phone: 202-945-3649
  • Fax:
Mailing address:
  • Phone: 202-945-3649
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MR. SAMORA PROCTOR
Title or Position: MANAGING PARTNER/ SENIOR MANAGEMENT
Credential:
Phone: 202-945-3648