Healthcare Provider Details

I. General information

NPI: 1982423653
Provider Name (Legal Business Name): POST ACUTE HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 BEDFORD AVE STE 113
PIKESVILLE MD
21208-3737
US

IV. Provider business mailing address

1314 BEDFORD AVE STE 113
PIKESVILLE MD
21208-3737
US

V. Phone/Fax

Practice location:
  • Phone: 443-868-7956
  • Fax: 443-345-2996
Mailing address:
  • Phone: 443-868-7956
  • Fax: 443-345-2996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOHN NGUGI
Title or Position: OWNER
Credential:
Phone: 443-868-7956