Provider Demographics
NPI:1386086015
Name:TERRAGRADE HEALTH CARE SERVICES INC
Entity type:Organization
Organization Name:TERRAGRADE HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABAYOMI
Authorized Official - Middle Name:MICHEAL
Authorized Official - Last Name:SOKOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-440-6002
Mailing Address - Street 1:9420 ANNAPOLIS RD
Mailing Address - Street 2:212
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3021
Mailing Address - Country:US
Mailing Address - Phone:301-440-6002
Mailing Address - Fax:
Practice Address - Street 1:9420 ANNAPOLIS RD
Practice Address - Street 2:212
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3021
Practice Address - Country:US
Practice Address - Phone:301-440-6002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health