Provider Demographics
NPI:1326728460
Name:ALBENIZ CARE THERAPIES LLC
Entity type:Organization
Organization Name:ALBENIZ CARE THERAPIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:OBUADEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-205-7979
Mailing Address - Street 1:20140 SCHOLAR DR STE 213
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6575
Mailing Address - Country:US
Mailing Address - Phone:240-205-7979
Mailing Address - Fax:240-415-6084
Practice Address - Street 1:20140 SCHOLAR DR STE 213
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6575
Practice Address - Country:US
Practice Address - Phone:240-205-7979
Practice Address - Fax:240-415-6084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD852124700Medicaid