MEDICARE: ALYSSA CAIN 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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1164355988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALYSSA CAIN LLC

Provider Business Mailing Address
First Line	:	1904 STONERIDGE CT
Second Line	:
City	:	MARRIOTTSVILLE
State	:	MD
Zip	:	21104-1023
Country	:	US
Telephone Number	:	410-988-4664
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 LIBERTY RD STE G
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-1054
Country	:	US
Telephone Number	:	410-988-4664
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALYSSA L. CAIN
Credential	:	NP
Telephone Number	:	410-988-4664

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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