Provider Demographics
NPI:1194321430
Name:MARTINS LOVE AND CARE ALH LLC
Entity type:Organization
Organization Name:MARTINS LOVE AND CARE ALH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARIUS
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOMERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-597-6729
Mailing Address - Street 1:8341 CATHERINE AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-1259
Mailing Address - Country:US
Mailing Address - Phone:443-597-6729
Mailing Address - Fax:
Practice Address - Street 1:8341 CATHERINE AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1259
Practice Address - Country:US
Practice Address - Phone:443-597-6729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health