=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942539291
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAREPLUS HOME HEALTH, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/16/2009
-----------------------------------------------------
Last Update Date | 03/09/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 19390 MONTGOMERY VILLAGE AVE
-----------------------------------------------------
City | MONTGOMERY VILLAGE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20886-3000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-740-8870
-----------------------------------------------------
Fax | 301-740-8871
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7361 CALHOUN PLACE #301
-----------------------------------------------------
City | DERWOOD
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20855
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-740-8870
-----------------------------------------------------
Fax | 301-740-8871
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. HAYTHAM NAJJAR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 301-740-7780
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number | R2515
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number | R2515
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------