DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LAVENPORT HOMECARE, LLC

MEDICARE: LAVENPORT HOMECARE, 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
1251E00000XHome Health AgencyR2732PMD

General Provider Information

NPI Number : 1528207495
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAVENPORT HOMECARE, LLC
Provider Business Mailing Address
First Line : 14213 GRAND PRE RD
Second Line : SUITE 201
City : SILVER SPRING
State : MD
Zip : 20906-2813
Country : US
Telephone Number : 301-300-9357
Fax Number :
Provider Business Practice Location Address
First Line : 14213 GRAND PRE RD
Second Line : SUITE 201
City : SILVER SPRING
State : MD
Zip : 20906-2813
Country : US
Telephone Number : 301-300-9357
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. KOFI AKOMEAH
Credential :
Telephone Number : 410-454-8174
Provider Enumeration Date : 02/16/2009
Last Update Date : 02/16/2009

Similar Medicare Providers

1760098230 — QUEENTER MUKWE
Practice Location Address:
1707 ARCOLA AVE
SILVER SPRING, MD
20902-2813
Practice Phone: 240-970-2555
Practice Fax:
1649531310 — ENGWALI TAH
Practice Location Address:
1707 ARCOLA AVE
SILVER SPRING, MD
20902-2813
Practice Phone: 202-529-6510
Practice Fax:
1689348112 — MOSES A MULEM
Practice Location Address:
1707 ARCOLA AVE
SILVER SPRING, MD
20902-2813
Practice Phone: 760-887-0732
Practice Fax:
1336831676 — BLANCHE ORNELLA ENGOCHAM
Practice Location Address:
1707 ARCOLA AVE
SILVER SPRING, MD
20902-2813
Practice Phone: 240-564-9537
Practice Fax:
1265271183 — NELLY SANDRA ADIE
Practice Location Address:
1707 ARCOLA AVE
SILVER SPRING, MD
20902-2813
Practice Phone: 240-945-9192
Practice Fax:
1972346070 — TRACEY AJOH TEBO
Practice Location Address:
1707 ARCOLA AVE
SILVER SPRING, MD
20902-2813
Practice Phone: 240-481-2256
Practice Fax:

Directions to “LAVENPORT HOMECARE, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.