Healthcare Provider Details

I. General information

NPI: 1306752878
Provider Name (Legal Business Name): JENNIFER RORIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19010 CAPEHART DR
MONTGOMERY VILLAGE MD
20886-3935
US

IV. Provider business mailing address

19010 CAPEHART DR
MONTGOMERY VILLAGE MD
20886-3935
US

V. Phone/Fax

Practice location:
  • Phone: 240-848-4940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: