Healthcare Provider Details

I. General information

NPI: 1568354983
Provider Name (Legal Business Name): SAFE HANDS HOME HEALTHCARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12008 CASTLE PINES LN
WALDORF MD
20602-3183
US

IV. Provider business mailing address

12008 CASTLE PINES LN
WALDORF MD
20602-3183
US

V. Phone/Fax

Practice location:
  • Phone: 702-721-0830
  • Fax:
Mailing address:
  • Phone: 702-721-0830
  • Fax:

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 Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: IWIMBONG KUM GHABOWEN
Title or Position: SOLE MEMBER
Credential: DR.
Phone: 702-721-0830