MEDICARE: SISTERS IN ACTION 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	251S00000X	Community/Behavioral Health Agency
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1598617508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SISTERS IN ACTION LLC

Provider Business Mailing Address
First Line	:	583 FREDERICK RD 1A
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-4768
Country	:	US
Telephone Number	:	443-860-9490
Fax Number	:	443-860-9512

Provider Business Practice Location Address
First Line	:	5743 EDGEPARK RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21239-3243
Country	:	US
Telephone Number	:	443-860-9490
Fax Number	:	443-860-9512

Authorized Official
Title or Position	:	CEO
Name	:	WANDA YVETTE COOMBS
Credential	:
Telephone Number	:	443-860-9490

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	06/11/2026

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Directions to “SISTERS IN ACTION LLC ” Practice Location

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