GRACE HOME MEDICAL EQUIPMENT LLC (NPI# 1104901453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104901453 |
| Entity Type | Organization |
| Organization Name | GRACE HOME MEDICAL EQUIPMENT LLC |
| Other Organization Name | HOME MEDISERVICE INC |
| Practice Address |
810 Cromwell Park Dr Suite F Glen Burnie MD 21061 |
| Mailing Address |
540 South Union Avenue Havre De Grace MD 21078 |
| Practice Telephone | 4109391212 |
| Practice Fax Number | 4109395952 |
| Mailing Telephone | 4109391212 |
| Mailing Fax Number | 4109395952 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK D RICHARDSON (PRESIDENT) |
| Authorized Official Telephone | 4109391212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| X | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| X | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Other Name | Type Code |
|---|---|
| Home MediService Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942392139 | Grace Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 540 S Union Ave, Havre De Grace, MD 21078-3410 | 2006-09-28 |
| Street Address |
810 CROMWELL PARK DR SUITE F |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518093582 | Neighborcare Home Medical Equipment of Maryland LLC | Durable Medical Equipment & Medical Supplies | 810 Cromwell Park Dr, Suite G, Glen Burnie, MD 21061-2562 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953319 | Med-care Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1406b Crain Hwy S Ste 205, Glen Burnie, MD 21061-4336 | 2020-08-20 |
| 1588188403 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7967 Baltimore Annapolis Blvd, Glen Burnie, MD 21060-8143 | 2017-08-02 |
| 1316323637 | Estn85 | Durable Medical Equipment & Medical Supplies | 332 Highland Dr Apt T3, Glen Burnie, MD 21061-5988 | 2015-08-10 |
| 1801292719 | Bls Diagnostics LLC | Durable Medical Equipment & Medical Supplies | 7704 Quarterfield Rd Ste I, Glen Burnie, MD 21061-4412 | 2014-11-05 |
| 1861808826 | Care Rx Inc | Durable Medical Equipment & Medical Supplies | 325 Hospital Dr Ste 203, Glen Burnie, MD 21061-5807 | 2014-07-10 |
| 1710282298 | Robin Smith | Durable Medical Equipment & Medical Supplies | 413 Hidden Brook Dr, Suite J, Glen Burnie, MD 21061 | 2011-01-14 |
| 1023240942 | Senior's Little Helpers, LLC | Durable Medical Equipment & Medical Supplies | 604 Newfield Rd, Glen Burnie, MD 21061-3325 | 2009-08-11 |
| 1518169846 | Dr Samuel D Beitler Pa | Durable Medical Equipment & Medical Supplies | 795 Aquahart Road, Suite Number 125, Glen Burnie, MD 21061 | 2007-05-31 |
| 1104991876 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 889 Airport Park Rd, Ste J, Glen Burnie, MD 21061 | 2006-11-21 |
| 1982798393 | Rizraf LLC | Durable Medical Equipment & Medical Supplies | 103b 2 North Crain Highway, Glen Burnie, MD 21061 | 2006-10-03 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on GRACE HOME MEDICAL EQUIPMENT LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.