Healthcare Provider Details

I. General information

NPI: 1033024336
Provider Name (Legal Business Name): REJUVENATING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 JAMESON ST
TEMPLE HILLS MD
20748-7024
US

IV. Provider business mailing address

2215 JAMESON ST
TEMPLE HILLS MD
20748-7024
US

V. Phone/Fax

Practice location:
  • Phone: 301-740-0039
  • Fax: 301-740-0039
Mailing address:
  • Phone: 301-740-0039
  • Fax: 301-740-0039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. GINA MEKEALE CRUMP
Title or Position: OWNER/DIRECTOR
Credential: CNA, CMT,
Phone: 301-740-0039