Provider Demographics
NPI:1427695691
Name:JCH DURABLE MEDICAL SUPPLIES
Entity type:Organization
Organization Name:JCH DURABLE MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EBERE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBONNAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-900-4201
Mailing Address - Street 1:7416 HARFORD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7152
Mailing Address - Country:US
Mailing Address - Phone:410-900-4201
Mailing Address - Fax:
Practice Address - Street 1:7416 HARFORD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-7152
Practice Address - Country:US
Practice Address - Phone:410-900-4201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JERRY'S CARING HANDS INCORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD20111811OtherD20111811