MEDICARE: ALL SAINTS HOME HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1750774212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL SAINTS HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	11200 LOCKWOOD DR
Second Line	:	APT 511
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4551
Country	:	US
Telephone Number	:	301-633-9942
Fax Number	:

Provider Business Practice Location Address
First Line	:	11200 LOCKWOOD DR
Second Line	:	APT 511
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4551
Country	:	US
Telephone Number	:	301-633-9942
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LANRE AKINSHEMOYIN
Credential	:
Telephone Number	:	301-633-9942

Provider Enumeration Date	:	03/09/2015
Last Update Date	:	03/09/2015

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