Healthcare Provider Details
I. General information
NPI: 1124746805
Provider Name (Legal Business Name): CHIDEX HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2022
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4109 FOX HOLLOW LN
RANDALLSTOWN MD
21133-2041
US
IV. Provider business mailing address
4109 FOX HOLLOW LN
RANDALLSTOWN MD
21133-2041
US
V. Phone/Fax
- Phone: 443-759-2934
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LILIAN
ORDU
Title or Position: CEO
Credential:
Phone: 443-759-2934