MEDICARE: REWARD HEALTH SERVICES, LLC

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	251G00000X	Community Based Hospice Care Agency	409426300	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093955528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REWARD HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	2116 N CHARLES ST
Second Line	:	SUITE 311
City	:	BALTIMORE
State	:	MD
Zip	:	21218-5758
Country	:	US
Telephone Number	:	443-708-4854
Fax Number	:	443-708-4857

Provider Business Practice Location Address
First Line	:	2116 N CHARLES ST
Second Line	:	SUITE 311
City	:	BALTIMORE
State	:	MD
Zip	:	21218-5758
Country	:	US
Telephone Number	:	443-708-4854
Fax Number	:	443-708-4857

Authorized Official
Title or Position	:	CEO
Name	:	MR. ISAAC ABIOYE OLASUPO
Credential	:	MS
Telephone Number	:	443-708-4854

Provider Enumeration Date	:	02/24/2009
Last Update Date	:	02/24/2009

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