MEDICARE: AMERICAN CARE TEAM, 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	251E00000X	Home Health Agency	R3891	MD

General Provider Information

NPI Number	:	1619325834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN CARE TEAM, LLC

Provider Business Mailing Address
First Line	:	2811 FALLING BROOK TER
Second Line	:
City	:	ADELPHI
State	:	MD
Zip	:	20783-1451
Country	:	US
Telephone Number	:	240-581-2918
Fax Number	:

Provider Business Practice Location Address
First Line	:	2811 FALLING BROOK TER
Second Line	:
City	:	ADELPHI
State	:	MD
Zip	:	20783-1451
Country	:	US
Telephone Number	:	240-581-2918
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	MRS. FATUMA NUNU ADEN
Credential	:	R.N.
Telephone Number	:	240-938-2457

Provider Enumeration Date	:	05/27/2016
Last Update Date	:	05/27/2016

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