Healthcare Provider Details

I. General information

NPI: 1982525184
Provider Name (Legal Business Name): VANGUARD HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5431 WOODLAND BLVD
OXON HILL MD
20745-3606
US

IV. Provider business mailing address

5431 WOODLAND BLVD
OXON HILL MD
20745-3606
US

V. Phone/Fax

Practice location:
  • Phone: 301-327-1444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: DEAN MATTHEWS
Title or Position: OWNER
Credential: ALM, CMT, PMP
Phone: 301-327-1444