Provider Demographics
NPI:1366195802
Name:AFFECTION HOME HEALTH CARE MARYLAND
Entity type:Organization
Organization Name:AFFECTION HOME HEALTH CARE MARYLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHOSINA
Authorized Official - Middle Name:JANNAT
Authorized Official - Last Name:RIMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-421-8446
Mailing Address - Street 1:11468 CHERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3617
Mailing Address - Country:US
Mailing Address - Phone:240-421-4446
Mailing Address - Fax:571-730-4853
Practice Address - Street 1:11468 CHERRY HILL RD
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3617
Practice Address - Country:US
Practice Address - Phone:240-421-4446
Practice Address - Fax:571-730-4853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health