Provider Demographics
NPI:1487285631
Name:AIM TO INSPIRE CARE FOREVER LIMITED
Entity type:Organization
Organization Name:AIM TO INSPIRE CARE FOREVER LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAQUAN
Authorized Official - Middle Name:DWIGHT
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-360-2632
Mailing Address - Street 1:3603 DENNLYN RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-7418
Mailing Address - Country:US
Mailing Address - Phone:443-360-2632
Mailing Address - Fax:
Practice Address - Street 1:2015 ROBB ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-6337
Practice Address - Country:US
Practice Address - Phone:443-360-2632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD832779418OtherINSURANCES
MD832779418Medicaid