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NPI Code Detail

MEDICARE: ANGELA BOONE

MEDICARE: ANGELA BOONE
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
1253Z00000XIn Home Supportive Care AgencyA00055383MD

General Provider Information

NPI Number : 1487513388
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA BOONE
Provider Business Mailing Address
First Line : 8775 CENTRE PARK DR STE M
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2104
Country : US
Telephone Number : 443-759-3789
Fax Number :
Provider Business Practice Location Address
First Line : 8455 OAKTON LN APT 3F
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-7234
Country : US
Telephone Number : 443-759-3789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2026
Last Update Date : 01/17/2026

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Directions to “ ANGELA BOONE ” Practice Location

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