Healthcare Provider Details
I. General information
NPI: 1932899580
Provider Name (Legal Business Name): CMAG HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/08/2023
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11155 DOLFIELD BLVD STE 110
OWINGS MILLS MD
21117-3289
US
IV. Provider business mailing address
11155 DOLFIELD BLVD STE 110
OWINGS MILLS MD
21117-3289
US
V. Phone/Fax
- Phone: 410-517-2624
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BN1400X |
| Taxonomy | Nursing Facility Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANGELA
IVY
GUSTUS
Title or Position: CEO
Credential:
Phone: 410-517-2624