Healthcare Provider Details

I. General information

NPI: 1932024163
Provider Name (Legal Business Name): TAIKKY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

977 MORGAN RUN RD
MIDDLE RIVER MD
21220-2163
US

IV. Provider business mailing address

977 MORGAN RUN RD
MIDDLE RIVER MD
21220-2163
US

V. Phone/Fax

Practice location:
  • Phone: 443-686-8377
  • Fax: 443-686-8377
Mailing address:
  • Phone: 443-686-8377
  • Fax: 443-686-8377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TAIBAT OLAYINKA IBIDAPO
Title or Position: OWNER
Credential:
Phone: 443-686-8377