Healthcare Provider Details

I. General information

NPI: 1619740578
Provider Name (Legal Business Name): AWESOME CARING HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2023
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14700 4TH ST APT 108
LAUREL MD
20707-3899
US

IV. Provider business mailing address

14700 4TH ST APT 108
LAUREL MD
20707-3899
US

V. Phone/Fax

Practice location:
  • Phone: 240-421-8971
  • Fax:
Mailing address:
  • Phone: 240-421-8971
  • 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: SERAH KURIA
Title or Position: CEO
Credential:
Phone: 240-421-8971