Provider Demographics
NPI:1447698246
Name:E-RHODA'S HEALTH CARE SERVICES
Entity type:Organization
Organization Name:E-RHODA'S HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATIENCE
Authorized Official - Middle Name:U
Authorized Official - Last Name:OJUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-599-9502
Mailing Address - Street 1:5010 SUNNYSIDE AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2320
Mailing Address - Country:US
Mailing Address - Phone:410-599-9502
Mailing Address - Fax:
Practice Address - Street 1:5010 SUNNYSIDE AVE STE 303
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2320
Practice Address - Country:US
Practice Address - Phone:410-599-9502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3398251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD=========Medicaid