Provider Demographics
NPI:1427898329
Name:GRANDEUR HOMECARE LLC
Entity type:Organization
Organization Name:GRANDEUR HOMECARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:OUTTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-993-9591
Mailing Address - Street 1:6728 FRIENDSHIP RD
Mailing Address - Street 2:
Mailing Address - City:PITTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21850-2044
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6728 FRIENDSHIP RD
Practice Address - Street 2:
Practice Address - City:PITTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21850-2044
Practice Address - Country:US
Practice Address - Phone:443-993-9591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care