Healthcare Provider Details

I. General information

NPI: 1760294748
Provider Name (Legal Business Name): PERISSMOS HEALTHCARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2025
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700A NURSERY RD
LINTHICUM MD
21090-1409
US

IV. Provider business mailing address

700A NURSERY RD
LINTHICUM MD
21090-1409
US

V. Phone/Fax

Practice location:
  • Phone: 240-481-6079
  • Fax: 443-883-8720
Mailing address:
  • Phone:
  • Fax: 443-883-8720

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

VIII. Authorized Official

Name: OLUSEYI EMIOLA
Title or Position: DIRECTOR
Credential:
Phone: 240-481-6079