Provider Demographics
NPI:1487264206
Name:JERRY'S CARING HANDS, INC
Entity type:Organization
Organization Name:JERRY'S CARING HANDS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EBERE
Authorized Official - Middle Name:GOODLUCK
Authorized Official - Last Name:OGBONNAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-444-4106
Mailing Address - Street 1:12 WILLOW CREEK CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-8715
Mailing Address - Country:US
Mailing Address - Phone:410-900-4201
Mailing Address - Fax:800-979-1732
Practice Address - Street 1:313 E BROAD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1737
Practice Address - Country:US
Practice Address - Phone:804-738-5377
Practice Address - Fax:800-979-1732
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:85-2353873
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-06
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD423137600Medicaid