Provider Demographics
NPI:1427713114
Name:DAVID HOME HEALTH NURSING SERVICES LLC
Entity type:Organization
Organization Name:DAVID HOME HEALTH NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADEMOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:FALANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-939-1024
Mailing Address - Street 1:604 AVOCET CT
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-1621
Mailing Address - Country:US
Mailing Address - Phone:443-939-1024
Mailing Address - Fax:
Practice Address - Street 1:604 AVOCET CT
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-1621
Practice Address - Country:US
Practice Address - Phone:443-939-1024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty