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Community Centered Home Healthcare, LLC

Home Health in Silver Spring, MD. Organization (NPI-2).

NPI number1952915787
StatusActive
Last updated in NPPESDec 4, 2020

Details

NPI
1952915787
Entity type
Organization (NPI-2)
Legal business name
Community Centered Home Healthcare, LLC
Organization subpart
No
Enumeration date
Aug 31, 2020
Certification date
Dec 4, 2020
Last updated
Dec 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
251F00000X Home Infusion––
251J00000X Nursing Care––
253Z00000X In Home Supportive Care––
310400000X Assisted Living Facility––
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness––
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances––

Practice location

12803 Marlow Pl
Silver Spring, MD 20904-7143

Phone 240-605-6954 · Fax 301-890-3940

Mailing address

12803 Marlow Pl
Silver Spring, MD 20904-7143

Phone 240-605-6954 · Fax 301-890-3940

Other practice locations

12803 Marlow Pl
Silver Spring, MD 20904-7143

Phone 240-605-6954 · Fax 301-890-3940

2402 Hamilton Ave
Baltimore, MD 21214-1632

Phone 240-605-6954 · Fax 301-890-3940

Authorized official

Cynthia Renee Brunson
Msn, Rn, Aphn, Ceo
2406056954

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