Healthcare Provider Details

I. General information

NPI: 1760400014
Provider Name (Legal Business Name): NATION'S HEALTHCARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11515 CRONRIDGE DR SUITE L
OWINGS MILLS MD
21117-1546
US

IV. Provider business mailing address

11515 CRONRIDGE DR SUITE L
OWINGS MILLS MD
21117-1546
US

V. Phone/Fax

Practice location:
  • Phone: 410-356-9006
  • Fax: 410-356-9960
Mailing address:
  • Phone: 410-356-9006
  • Fax: 410-356-9960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number
License Number State

VIII. Authorized Official

Name: TRACY CAMPBELL
Title or Position: VP REIMBURSEMENT
Credential:
Phone: 410-248-5590