Provider Demographics
NPI:1326240342
Name:F B & O BABY AND ELDERLY CARE AGENCY LLC
Entity type:Organization
Organization Name:F B & O BABY AND ELDERLY CARE AGENCY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STACY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CONAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1866-407-6002
Mailing Address - Street 1:17 WARREN RD
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5334
Mailing Address - Country:US
Mailing Address - Phone:410-580-2844
Mailing Address - Fax:410-580-2922
Practice Address - Street 1:17 WARREN RD
Practice Address - Street 2:SUITE 6B
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5334
Practice Address - Country:US
Practice Address - Phone:410-580-2844
Practice Address - Fax:410-580-2922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2481163W00000X, 171M00000X, 171W00000X, 172A00000X, 251B00000X, 251E00000X, 251G00000X, 251J00000X, 3140N1450X, 372500000X, 372600000X, 374U00000X, 376K00000X, 385H00000X
MDR2841164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Not Answered164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
Not Answered171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
Not Answered171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
Not Answered172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
Not Answered251B00000XAgenciesCase Management
Not Answered251E00000XAgenciesHome Health
Not Answered251G00000XAgenciesHospice Care, Community Based
Not Answered251J00000XAgenciesNursing Care
Not Answered3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, PediatricGroup - Multi-Specialty
Not Answered372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
Not Answered372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
Not Answered374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Not Answered376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
Not Answered385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR2481OtherDHMH LICENSE NUMBER