MEDICARE: FIRST MARYLAND CARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1487506051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST MARYLAND CARE LLC

Provider Business Mailing Address
First Line	:	1835 ADDISON RD S
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-1572
Country	:	US
Telephone Number	:	682-251-2638
Fax Number	:	682-251-2638

Provider Business Practice Location Address
First Line	:	1835 ADDISON RD S
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-1572
Country	:	US
Telephone Number	:	682-251-2638
Fax Number	:	682-251-2638

Authorized Official
Title or Position	:	DIRECTOR
Name	:	AKIM MOUSSA
Credential	:
Telephone Number	:	682-251-2638

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “FIRST MARYLAND CARE LLC ” Practice Location

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