Provider Demographics
NPI:1902332273
Name:ATTENTIVE CARE RESIDENTIAL SERVICES AND NURSING REFERRAL AGENCY, LLC
Entity type:Organization
Organization Name:ATTENTIVE CARE RESIDENTIAL SERVICES AND NURSING REFERRAL AGENCY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-339-7300
Mailing Address - Street 1:7801 YORK RD
Mailing Address - Street 2:230
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7446
Mailing Address - Country:US
Mailing Address - Phone:410-339-7300
Mailing Address - Fax:410-339-7303
Practice Address - Street 1:7801 YORK RD
Practice Address - Street 2:230
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7446
Practice Address - Country:US
Practice Address - Phone:410-339-7300
Practice Address - Fax:410-339-7303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDNRSA140004251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health