Provider Demographics
NPI:1104983022
Name:ALL ABOUT HOME CARE LLC
Entity type:Organization
Organization Name:ALL ABOUT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICJA
Authorized Official - Middle Name:LILA
Authorized Official - Last Name:JANUS
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:443-460-2120
Mailing Address - Street 1:P.O. BOX 9558
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237
Mailing Address - Country:US
Mailing Address - Phone:443-460-2120
Mailing Address - Fax:443-460-2121
Practice Address - Street 1:5031 FORGE HAVEN DR
Practice Address - Street 2:
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9261
Practice Address - Country:US
Practice Address - Phone:443-460-2120
Practice Address - Fax:443-460-2121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2111251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1104983022OtherNPI
MD408026200Medicaid