Healthcare Provider Details

I. General information

NPI: 1770247876
Provider Name (Legal Business Name): TEMARA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2021
Last Update Date: 10/25/2021
Certification Date: 10/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9103 MIDLAND TURN
UPPER MARLBORO MD
20772-5315
US

IV. Provider business mailing address

9103 MIDLAND TURN
UPPER MARLBORO MD
20772-5315
US

V. Phone/Fax

Practice location:
  • Phone: 240-918-7744
  • Fax:
Mailing address:
  • Phone: 240-918-7744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: RUKAYAT A ADEBESHIN
Title or Position: DIRECTOR
Credential:
Phone: 240-918-7744