HOMECENTRIS COMMUNITY CARE, LLC


Address: 3617 Fords Ln, Baltimore, MD 21215-2900
Phone: 4103564779

HOMECENTRIS COMMUNITY CARE, LLC (NPI# 1801264841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801264841
Entity Type Organization
Organization Name HOMECENTRIS COMMUNITY CARE, LLC
Practice Address 3617 Fords Ln
Baltimore
MD 21215-2900
Mailing Address 10 Crossroads Dr
Suite 110
Owings Mills
MD 21117-5458
Practice Telephone 4103564779
Practice Fax Number 4104151137
Mailing Telephone 4104865330
Mailing Fax Number 4104865331
Enumeration Date 2015-09-08
Last Update Date 2018-08-22
Authorized Official Name TIMOTHY JOSEPH TRYBUS (CFO)
Authorized Official Telephone 4104865330
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093183030 Homecentris Community Care, LLC Clinic/Center 1500 Bedford Ave, Baltimore, MD 21208 2015-09-08
1528477809 Homecentris Community Care, LLC Clinic/Center 3430 Associated Way, 4th Floor, Owings Mills, MD 21117 2014-08-12
1245604834 Homecentris Community Care, LLC Clinic/Center 3430 Associated Way, 4th Floor, Baltimore, MD 21208 2015-11-19

Office Location

Street Address 3617 FORDS LN
City BALTIMORE
State MD
Zip Code 21215-2900

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639736796 Talal Abalkhail Student in an Organized Health Care Education/Training Program 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 2019-05-23
1235795410 Bilal Khan Student in an Organized Health Care Education/Training Program 2041 West Belvedere Avenue, Balitmore, MD 21215 2019-05-14
1669036067 Nasir M Alhamdan Student in an Organized Health Care Education/Training Program Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 2019-05-01
1851863971 Brittany Michelle O'neill Specialist/Technologist Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 2018-12-31
1881164432 Emily Gamma Social Worker 4810 Seton Drive, Baltimore, MD 21215 2018-11-27
1518440478 Benson Baby Physical Therapist 2525west Belveder Ave, Baltimore, MD 21215 2018-09-07
1609360817 Bonnie Kahler Clinical Nurse Specialist 2401 Belvedere Avenue, Baltimore, MD 21215 2018-06-20
1932693843 Kelley Monica Cohill Social Worker Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 2018-06-15
1497245609 Kimberly Beth Koerner Social Worker 2401 W. Belvedere Avenue, Baltimore, MD 21215 2018-05-14
1184113078 Mary Jo Kozel Registered Nurse 2401 West Belvedere, Baltimore, MD 21215 2018-05-07
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013575638 The Regeneration Project LLC Clinic/Center 2701 N Charles St Ste 401, Baltimore, MD 21218-5061 2019-05-29
1922597780 Catherine Talbot Murphy Clinic/Center 1994 Cromwell Bridge Rd, Baltimore, MD 21234-1418 2018-05-08
1679073498 Impacting Tomorrow Health Center Clinic/Center 1120 N Charles St Ste 500, Baltimore, MD 21201-5518 2018-02-19
1104326487 Epiphany Family Services- Maryland LLC Clinic/Center 5900 York Rd Ste 202, Baltimore, MD 21212-3098 2018-02-13
1184134538 We Did Dat Recovery Center Clinic/Center 609 George St, Baltimore, MD 21201-1353 2017-10-11
1730629486 Plesant Housing Behavioral Services Clinic/Center 114 E 25th St, Baltimore, MD 21218-5214 2017-02-28
1093183030 Homecentris Community Care, LLC Clinic/Center 1500 Bedford Ave, Baltimore, MD 21208 2015-09-08
1831508829 Kelli K Mccallum Clinic/Center 3721 Chesmont Ave, Baltimore, MD 21206-5041 2014-08-05
1831446574 Collaborate Care Pharmacy & Wellness Center LLC Clinic/Center 3305 Garrison Blvd, Baltimore, MD 21216-1323 2012-08-13
1962782532 Shepherd's Clinic Clinic/Center 2800 Kirk Ave, Baltimore, MD 21218-3647 2011-08-26
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Competitor

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City BALTIMORE
Zip Code 21215

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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