Provider Demographics
NPI:1063292100
Name:HOMELAND HOMECARE LLC
Entity type:Organization
Organization Name:HOMELAND HOMECARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:PRIYANKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:689-710-1023
Mailing Address - Street 1:417C EASTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-6715
Mailing Address - Country:US
Mailing Address - Phone:443-414-2988
Mailing Address - Fax:
Practice Address - Street 1:100 HARBORVIEW DR UNIT 2109
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-5449
Practice Address - Country:US
Practice Address - Phone:689-710-1023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health