MEDICARE: FORWARD HEALTHCARE 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	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1194110387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORWARD HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	9419 COMMON BROOK RD STE 212
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-7570
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9419 COMMON BROOK RD STE 214
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-7570
Country	:	US
Telephone Number	:	443-213-5595
Fax Number	:	443-213-5763

Authorized Official
Title or Position	:	CCO
Name	:	SHEILA ROBERSON
Credential	:
Telephone Number	:	480-528-2609

Provider Enumeration Date	:	04/03/2015
Last Update Date	:	01/11/2024

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Directions to “FORWARD HEALTHCARE LLC ” Practice Location

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