Healthcare Provider Details

I. General information

NPI: 1326240342
Provider Name (Legal Business Name): F B & O BABY AND ELDERLY CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 WARREN RD SUITE 6B
PIKESVILLE MD
21208-5334
US

IV. Provider business mailing address

17 WARREN RD SUITE 6B
PIKESVILLE MD
21208-5334
US

V. Phone/Fax

Practice location:
  • Phone: 410-580-2844
  • Fax: 410-580-2922
Mailing address:
  • Phone: 410-580-2844
  • Fax: 410-580-2922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR2481
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberR2841
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberR2481
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License NumberR2481
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License NumberR2481
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberR2481
License Number StateMD
# 7
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberR2481
License Number StateMD
# 8
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberR2481
License Number StateMD
# 9
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberR2481
License Number StateMD
# 10
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License NumberR2481
License Number StateMD
# 11
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberR2481
License Number StateMD
# 12
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberR2481
License Number StateMD
# 13
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberR2481
License Number StateMD
# 14
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberR2481
License Number StateMD
# 15
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License NumberR2481
License Number StateMD

VIII. Authorized Official

Name: MS. STACY A CONAWAY
Title or Position: ADMINISTRATOR
Credential:
Phone: 18664076002