MEDICARE: REMEDIUM HEALTH CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1073163259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMEDIUM HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	10203 GRANDHAVEN AVE
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-6656
Country	:	US
Telephone Number	:	443-240-7072
Fax Number	:

Provider Business Practice Location Address
First Line	:	8181 PROFESSIONAL PL STE 115
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-2226
Country	:	US
Telephone Number	:	443-240-7072
Fax Number	:	301-576-5359

Authorized Official
Title or Position	:	CEO
Name	:	HANS PRINCE DOHERTY
Credential	:
Telephone Number	:	844-726-1114

Provider Enumeration Date	:	09/19/2019
Last Update Date	:	01/30/2024

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Directions to “REMEDIUM HEALTH CARE SERVICES ” Practice Location

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