Provider Demographics
NPI:1447942735
Name:LEAP HOMECARE INC.
Entity type:Organization
Organization Name:LEAP HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OJO
Authorized Official - Middle Name:OYEWUSI
Authorized Official - Last Name:BALOGUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-222-3401
Mailing Address - Street 1:6215 GREENBELT RD STE 206
Mailing Address - Street 2:
Mailing Address - City:BERWYN HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2364
Mailing Address - Country:US
Mailing Address - Phone:240-659-3511
Mailing Address - Fax:
Practice Address - Street 1:6215 GREENBELT RD STE 206
Practice Address - Street 2:
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740-2364
Practice Address - Country:US
Practice Address - Phone:240-659-3511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health