Healthcare Provider Details

I. General information

NPI: 1194645150
Provider Name (Legal Business Name): HOMECARE WITH DIGNITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8103 MALLARD SHORE DR
LAUREL MD
20724-2967
US

IV. Provider business mailing address

8103 MALLARD SHORE DR
LAUREL MD
20724-2967
US

V. Phone/Fax

Practice location:
  • Phone: 240-639-9632
  • Fax:
Mailing address:
  • Phone: 240-639-9632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIAMA BANGURA
Title or Position: ADMINISTRATOR
Credential: AUTHORIZED OFFICIAL
Phone: 240-893-5248