Healthcare Provider Details

I. General information

NPI: 1750109815
Provider Name (Legal Business Name): FOCUS FAMILY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2024
Last Update Date: 08/08/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 REISTERSTOWN ROAD STE B
PIKESVILLE MD
21208
US

IV. Provider business mailing address

10003 PAXTON RD
RANDALLSTOWN MD
21133-1612
US

V. Phone/Fax

Practice location:
  • Phone: 202-297-8782
  • Fax:
Mailing address:
  • Phone: 888-803-7033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: POWEI MUMBOH
Title or Position: ADMINISTRATOR
Credential:
Phone: 202-297-8782