Provider Demographics
NPI:1982405908
Name:MOVELINE CARE SERVICE LLC
Entity type:Organization
Organization Name:MOVELINE CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EBERECHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYANWU
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:443-570-7448
Mailing Address - Street 1:218 E LEXINGTON ST STE 704
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3518
Mailing Address - Country:US
Mailing Address - Phone:443-570-7448
Mailing Address - Fax:
Practice Address - Street 1:218 E LEXINGTON ST STE 704
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3518
Practice Address - Country:US
Practice Address - Phone:443-570-7448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation