HOMECENTRIS COMMUNITY CARE LLC NPI 1528477809

NPI Information

HOMECENTRIS COMMUNITY CARE, LLC is a community health clinic center in Owings Mills, MD. HOMECENTRIS COMMUNITY CARE, LLC NPI is 1528477809. The provider is registered as an organization entity type.

The provider's business location address is:

3430 ASSOCIATED WAY
4TH FLOOR
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 356-4779
Fax: (410) 415-1137

The provider's authorized official is Timothy Joseph Trybus .
The authorized official title is Cfo and has the following contact phone number (410) 486-5330.

The CLIA number assigned to this NPI record is 21D2040898 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2014 and was last updated on 8/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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