Provider Demographics
NPI:1104686401
Name:HOMEHARBOR CAREGIVERS CO
Entity type:Organization
Organization Name:HOMEHARBOR CAREGIVERS CO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-709-2288
Mailing Address - Street 1:101 N. HAVEN ST., SUITE 301
Mailing Address - Street 2:OFFICE I
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224
Mailing Address - Country:US
Mailing Address - Phone:410-709-2200
Mailing Address - Fax:401-433-7902
Practice Address - Street 1:101 N. HAVEN ST., SUITE 301
Practice Address - Street 2:OFFICE I
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224
Practice Address - Country:US
Practice Address - Phone:410-709-2273
Practice Address - Fax:401-433-7902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No282J00000XHospitalsReligious Nonmedical Health Care Institution
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No332U00000XSuppliersHome Delivered Meals
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No385H00000XRespite Care FacilityRespite Care
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDRSA-02401OtherMARYLAND DEPARTMENT OF HEALTH OFFICE OF HEALTHCARE QUALITY