Provider Demographics
NPI:1194095612
Name:HOMESTEAD HEALTH SERVICES INC.
Entity type:Organization
Organization Name:HOMESTEAD HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLAYINKA
Authorized Official - Middle Name:O
Authorized Official - Last Name:TOBY
Authorized Official - Suffix:
Authorized Official - Credentials:RN,DN,CM,BSN
Authorized Official - Phone:410-497-4237
Mailing Address - Street 1:5209 YORK RD STE B14
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-4245
Mailing Address - Country:US
Mailing Address - Phone:410-393-1111
Mailing Address - Fax:410-393-1112
Practice Address - Street 1:40 WINDBLUFF CT
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-2471
Practice Address - Country:US
Practice Address - Phone:410-497-4237
Practice Address - Fax:410-654-3631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-02
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3067251E00000X, 251J00000X, 251K00000X
MDR177381251F00000X, 251G00000X, 253Z00000X
MDR177383252Y00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1194095612Medicaid