Healthcare Provider Details

I. General information

NPI: 1396384269
Provider Name (Legal Business Name): GANDHI HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2019
Last Update Date: 11/12/2020
Certification Date: 11/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 REISTERSTOWN RD STE B
PIKESVILLE MD
21208-3806
US

IV. Provider business mailing address

1400 REISTERSTOWN RD STE B
PIKESVILLE MD
21208-3806
US

V. Phone/Fax

Practice location:
  • Phone: 443-352-8030
  • Fax: 443-660-8242
Mailing address:
  • Phone: 443-352-8030
  • Fax: 443-660-8242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ASANJI T CHOFOR
Title or Position: ADMINISTRATOR
Credential:
Phone: 443-762-6581