Tmdeedllc
Assisted Living Facility, Assisted Living, Behavioral Disturbances in Randallstown, MD. Organization (NPI-2).
NPI number1255006136
StatusActive
Last updated in NPPESAug 12, 2021
Details
- NPI
- 1255006136
- Entity type
- Organization (NPI-2)
- Legal business name
- Tmdeedllc
- Organization subpart
- No
- Enumeration date
- Aug 12, 2021
- Certification date
- Aug 12, 2021
- Last updated
- Aug 12, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0630X | Assisted Living Facility, Assisted Living, Behavioral Disturbances | – | – | Yes |
Practice location
4815 Old Court RdRandallstown, MD 21133-4626
Phone 410-805-9715
Mailing address
4815 Old Court RdRandallstown, MD 21133-4626
Phone 410-805-9715
Authorized official
Monroke Olubukola Eko
Ceo
4108059715
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