Healthcare Provider Details

I. General information

NPI: 1427898329
Provider Name (Legal Business Name): GRANDEUR HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6728 FRIENDSHIP RD
PITTSVILLE MD
21850-2044
US

IV. Provider business mailing address

6728 FRIENDSHIP RD
PITTSVILLE MD
21850-2044
US

V. Phone/Fax

Practice location:
  • Phone: 443-993-9591
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: SARAH OUTTEN
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 443-993-9591