Healthcare Provider Details

I. General information

NPI: 1609694264
Provider Name (Legal Business Name): TCARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8113 PINECREST AVE
ROSEDALE MD
21237-1636
US

IV. Provider business mailing address

8113 PINECREST AVE
ROSEDALE MD
21237-1636
US

V. Phone/Fax

Practice location:
  • Phone: 443-418-6020
  • Fax:
Mailing address:
  • Phone: 443-418-6020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TANESHA ESTEP
Title or Position: OWNER/CEO
Credential:
Phone: 443-408-8871