Provider Demographics
NPI:1437555190
Name:MARGARETS CARE AGENCY
Entity type:Organization
Organization Name:MARGARETS CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HEMPHILL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:410-864-8333
Mailing Address - Street 1:5900 YORK RD
Mailing Address - Street 2:SUITE 221
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3041
Mailing Address - Country:US
Mailing Address - Phone:410-864-8333
Mailing Address - Fax:410-864-8554
Practice Address - Street 1:5900 YORK RD
Practice Address - Street 2:SUITE 221
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3041
Practice Address - Country:US
Practice Address - Phone:410-864-8333
Practice Address - Fax:410-864-8554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3688P251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD56775012-00OtherMEDICAL ASSISTANCE PROVIDER #