Healthcare Provider Details

I. General information

NPI: 1205061777
Provider Name (Legal Business Name): ELIZABETH COONEY HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 04/30/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 KENILWORTH DRIVE SUITE 200
TOWSON MD
21204-2136
US

IV. Provider business mailing address

1107 KENILWORTH DRIVE SUITE 200
TOWSON MD
21204-2136
US

V. Phone/Fax

Practice location:
  • Phone: 410-323-1700
  • Fax: 410-377-4722
Mailing address:
  • Phone: 410-608-7966
  • Fax: 410-377-4722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ELIZABETH WEGLEIN
Title or Position: CEO
Credential:
Phone: 410-608-7966