| Homecentris Community Care, Llc | |
|
3430 Associated Way 4th Floor Owings Mills MD 21117 | |
| (410) 356-4779 | |
| (410) 415-1137 |
| Full Name | Homecentris Community Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3430 Associated Way, Owings Mills, Maryland |
| Authorized Official Name and Position | Timothy Joseph Trybus (CFO) |
| Authorized Official Contact | 4104865330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homecentris Community Care, Llc 10 Crossroads Dr Suite 110 Owings Mills MD 21117-5458 Ph: (410) 486-5330 | Homecentris Community Care, Llc 3430 Associated Way 4th Floor Owings Mills MD 21117 Ph: (410) 356-4779 |
| NPI Number | 1528477809 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 08/22/2018 |
| Medicare PECOS PAC ID | 8123249315 |
|---|---|
| Medicare Enrollment ID | O20141103000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528477809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Susan C Gershowitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427134337 PECOS PAC ID: 9931367711 Enrollment ID: I20120224000466 |
| Provider Name | Helen L Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023061025 PECOS PAC ID: 3274799689 Enrollment ID: I20130906000662 |
| Provider Name | Alison Blumenthal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699056861 PECOS PAC ID: 0648586321 Enrollment ID: I20150825005579 |
| Provider Name | Arnette Olivia Tates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154623965 PECOS PAC ID: 9234319328 Enrollment ID: I20180326002422 |
| Provider Name | Damilola Bolanle Ogunyanwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851792865 PECOS PAC ID: 3375941685 Enrollment ID: I20211018000119 |
Dr Tahoora Kawaja Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Crossroads Dr, Suite 101, Owings Mills, MD 21117 Phone: 410-902-0277 Fax: 410-902-0443 | |
Dr Daliah Salahuddin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Crossroads Dr, Suite 101, Owings Mills, MD 21117 Phone: 410-902-1144 Fax: 410-902-6391 | |
Ez Health Care Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Painters Mill Rd Ste 106, Owings Mills, MD 21117 Phone: 240-552-0267 | |
Kingdom Medicine Administrative Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 Painters Mill Rd Ste 205, Owings Mills, MD 21117 Phone: 410-907-1565 Fax: 443-445-4111 | |
Camelle Redding, Crnp,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9902 Linden Hill Rd Ste B, Owings Mills, MD 21117 Phone: 443-776-2583 Fax: 347-851-8731 | |
Crossroads Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-998-9100 Fax: 410-998-9104 | |
All Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9544 Watts Rd, Owings Mills, MD 21117 Phone: 144-381-4659 |