Healthcare Provider Details

I. General information

NPI: 1902604754
Provider Name (Legal Business Name): HOME LIFE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 HOFFMAN DR
MIDDLETOWN MD
21769-7881
US

IV. Provider business mailing address

306 INGALLS DR
MIDDLETOWN MD
21769-7973
US

V. Phone/Fax

Practice location:
  • Phone: 240-729-0759
  • Fax:
Mailing address:
  • Phone: 240-729-0759
  • Fax: 240-870-2110

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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ERLIZA ALBRIGHT
Title or Position: OWNER
Credential: MED TECH
Phone: 240-729-0759