Healthcare Provider Details

I. General information

NPI: 1518897586
Provider Name (Legal Business Name): GRATEFUL HOME CARE MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9505 REISTERSTOWN RD STE 1N
OWINGS MILLS MD
21117-4467
US

IV. Provider business mailing address

9505 REISTERSTOWN RD STE 1N
OWINGS MILLS MD
21117-4467
US

V. Phone/Fax

Practice location:
  • Phone: 631-229-6504
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: AMRAM CARCIENTE
Title or Position: COO
Credential:
Phone: 631-229-6504