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PROFESSIONAL HEALTHCARE RESOURCES OF MARYLAND INC. NPI 1215084900


NPI Information

NPI: 1215084900
Provider Name: PROFESSIONAL HEALTHCARE RESOURCES OF MARYLAND, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 21D1073523

Address:
10605 CONCORD ST
SUITE 309
KENSINGTON, MD
ZIP 20895
Phone: (240) 395-0000
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PROFESSIONAL HEALTHCARE RESOURCES OF MARYLAND, INC. is a home health in Kensington, MD. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. PROFESSIONAL HEALTHCARE RESOURCES OF MARYLAND, INC. NPI is 1215084900. The provider is registered as an organization entity type.

The provider's business location address is:

10605 CONCORD ST
SUITE 309
KENSINGTON, MD
ZIP 20895-504
Phone: (240) 395-0000
Fax: (240) 395-0001

The provider's authorized official is Brian J Clemens .
The authorized official title is Vp-finance and has the following contact phone number (703) 752-8700.

The CLIA number assigned to this NPI record is 21D1073523 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 9/24/2013.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthHH7154MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1217154MEDICARE ID-TYPE UNSPECIFIEDMARYLANDHOME HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.